Healthcare Provider Details
I. General information
NPI: 1629651609
Provider Name (Legal Business Name): HOPE AT THE END HOME HEALTHCARE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2021
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5402 S COMPTON AVE
SAINT LOUIS MO
63111-1906
US
IV. Provider business mailing address
5402 S COMPTON AVE
SAINT LOUIS MO
63111-1906
US
V. Phone/Fax
- Phone: 314-845-4508
- Fax:
- Phone: 314-845-4508
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOANNA
KARMEISHA
WHITE
Title or Position: OWNER/CAREGIVER
Credential:
Phone: 314-845-4508