Healthcare Provider Details

I. General information

NPI: 1407213275
Provider Name (Legal Business Name): HARMONY CARE NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2016
Last Update Date: 01/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4144 LINDELL BLVD # 327
SAINT LOUIS MO
63108-2927
US

IV. Provider business mailing address

932 JUSTICE CT
FLORISSANT MO
63034-2050
US

V. Phone/Fax

Practice location:
  • Phone: 314-531-0095
  • Fax:
Mailing address:
  • Phone:
  • 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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LILIAN WAITHAKA
Title or Position: MANAGER
Credential:
Phone: 314-458-2172