Healthcare Provider Details

I. General information

NPI: 1568975423
Provider Name (Legal Business Name): PREFERRED TOUCH HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 GARDENVIEW OFFICE PKWY STE 16
SAINT LOUIS MO
63141-5917
US

IV. Provider business mailing address

128 BRUSHY BROOK DR
O FALLON MO
63366-4970
US

V. Phone/Fax

Practice location:
  • Phone: 314-467-8311
  • Fax:
Mailing address:
  • Phone: 314-467-8311
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE SANFORD
Title or Position: DIRECTOR
Credential:
Phone: 314-467-8311