Healthcare Provider Details

I. General information

NPI: 1053683110
Provider Name (Legal Business Name): JONES HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2012
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 N NEWSTEAD AVE SUITE 111
SAINT LOUIS MO
63115-2534
US

IV. Provider business mailing address

4411 N NEWSTEAD AVE SUITE 111
SAINT LOUIS MO
63115-2534
US

V. Phone/Fax

Practice location:
  • Phone: 314-381-1970
  • Fax: 314-381-1972
Mailing address:
  • Phone: 314-381-1970
  • Fax: 314-381-1972

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL ANTHONY JONES
Title or Position: CEO/PRESIDENT
Credential:
Phone: 314-381-1970