Healthcare Provider Details

I. General information

NPI: 1659956134
Provider Name (Legal Business Name): HEARTS OF HARMONY IN HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 KIMBERLY LN
SAINT PETERS MO
63376-2120
US

IV. Provider business mailing address

34 KIMBERLY LN
SAINT PETERS MO
63376-2120
US

V. Phone/Fax

Practice location:
  • Phone: 314-601-2830
  • Fax:
Mailing address:
  • Phone: 314-601-2830
  • 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: RHONDA CHAMBERS
Title or Position: OWNER
Credential:
Phone: 314-601-2830