Healthcare Provider Details

I. General information

NPI: 1225673528
Provider Name (Legal Business Name): AKINS HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2019
Last Update Date: 11/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4432 W BELLE PL
SAINT LOUIS MO
63108-2617
US

IV. Provider business mailing address

4432 W BELLE PL
SAINT LOUIS MO
63108-2617
US

V. Phone/Fax

Practice location:
  • Phone: 314-652-8908
  • Fax: 314-652-8819
Mailing address:
  • Phone: 314-652-8908
  • Fax: 314-652-8819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: MR. CALVIN AKINS
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 314-652-8908