Healthcare Provider Details

I. General information

NPI: 1457117632
Provider Name (Legal Business Name): SOURCE ONE HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024
Certification Date: 02/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5145V WALLINGFORD DR
SAINT LOUIS MO
63121-1014
US

IV. Provider business mailing address

5145V WALLINGFORD DR
SAINT LOUIS MO
63121-1014
US

V. Phone/Fax

Practice location:
  • Phone: 314-445-4392
  • Fax:
Mailing address:
  • Phone: 314-445-4392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAWNYAE BAKER
Title or Position: CEO
Credential:
Phone: 314-445-4392