Healthcare Provider Details

I. General information

NPI: 1790179869
Provider Name (Legal Business Name): LAJOYS LOVING HANDS HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 03/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S 4TH ST STE 550
SAINT LOUIS MO
63102-1897
US

IV. Provider business mailing address

100 S 4TH ST STE 550
SAINT LOUIS MO
63102-1897
US

V. Phone/Fax

Practice location:
  • Phone: 314-869-0011
  • Fax:
Mailing address:
  • Phone: 314-869-0011
  • Fax:

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 Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAJOY ANDREWS-DABNEY
Title or Position: OWNER-MANAGER
Credential:
Phone: 314-869-0011