Healthcare Provider Details

I. General information

NPI: 1407513161
Provider Name (Legal Business Name): HAPPINESS & AMOR IN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1327 CLAUDINE DR
SAINT LOUIS MO
63138-2327
US

IV. Provider business mailing address

1327 CLAUDINE DR
SAINT LOUIS MO
63138-2327
US

V. Phone/Fax

Practice location:
  • Phone: 314-292-9521
  • Fax: 314-931-5952
Mailing address:
  • Phone: 314-292-9521
  • Fax: 314-931-5952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: LEKEISHA DIXON
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 314-556-1270