Healthcare Provider Details

I. General information

NPI: 1720673379
Provider Name (Legal Business Name): HEARTS LIKE OURS HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3431 DUNNICA AVE
SAINT LOUIS MO
63118-4221
US

IV. Provider business mailing address

3431 DUNNICA AVE
SAINT LOUIS MO
63118-4221
US

V. Phone/Fax

Practice location:
  • Phone: 314-736-2181
  • Fax:
Mailing address:
  • Phone: 314-736-2181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ANDREA SHINEAR CAMPBELL
Title or Position: OWNER
Credential:
Phone: 314-736-2181