Healthcare Provider Details

I. General information

NPI: 1578090338
Provider Name (Legal Business Name): ASSURANCE IN-HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1515 N WARSON RD STE 141
SAINT LOUIS MO
63132-1111
US

IV. Provider business mailing address

1515 N WARSON RD STE 141
SAINT LOUIS MO
63132-1111
US

V. Phone/Fax

Practice location:
  • Phone: 314-395-2858
  • Fax:
Mailing address:
  • Phone: 314-395-2858
  • 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: TAYLOR SHARP
Title or Position: C.E.O
Credential:
Phone: 314-395-2858