Healthcare Provider Details

I. General information

NPI: 1942820063
Provider Name (Legal Business Name): LOVING HEARTS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2020
Last Update Date: 04/18/2020
Certification Date: 04/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 WASHINGTON AVE STE 416
SAINT LOUIS MO
63103-1917
US

IV. Provider business mailing address

1409 WASHINGTON AVE STE 416
SAINT LOUIS MO
63103-1917
US

V. Phone/Fax

Practice location:
  • Phone: 314-390-2888
  • Fax: 314-390-2885
Mailing address:
  • Phone: 314-390-2888
  • Fax: 314-390-2885

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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGEL SHARRON CHAPMAN
Title or Position: CEO/ADMINISTRATOR
Credential: CEO/ADMINISTRATOR
Phone: 314-494-1887