Healthcare Provider Details

I. General information

NPI: 1013511047
Provider Name (Legal Business Name): KEEPING HOPE HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4144 LINDELL BLVD STE 317
SAINT LOUIS MO
63108-2953
US

IV. Provider business mailing address

4144 LINDELL BLVD STE 317
SAINT LOUIS MO
63108-2953
US

V. Phone/Fax

Practice location:
  • Phone: 314-437-0352
  • Fax:
Mailing address:
  • Phone: 314-437-0352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NAOMIA K WRIGHT
Title or Position: DIRECTOR/OWNER
Credential: LPN
Phone: 314-437-0352