Healthcare Provider Details

I. General information

NPI: 1861358376
Provider Name (Legal Business Name): CONTEMPORARY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 GREEN ACRES RD
SAINT LOUIS MO
63137-1809
US

IV. Provider business mailing address

210 GREEN ACRES RD
SAINT LOUIS MO
63137-1809
US

V. Phone/Fax

Practice location:
  • Phone: 314-474-7211
  • Fax:
Mailing address:
  • Phone: 314-474-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MRS. VICKIE WIGGLEY
Title or Position: OWNER/ MANAGER
Credential:
Phone: 314-230-2501