Healthcare Provider Details

I. General information

NPI: 1376464297
Provider Name (Legal Business Name): CHASE IN HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 WASHINGTON AVE STE 209
SAINT LOUIS MO
63103-1936
US

IV. Provider business mailing address

1409 WASHINGTON AVE STE 209
SAINT LOUIS MO
63103-1936
US

V. Phone/Fax

Practice location:
  • Phone: 314-446-9755
  • Fax:
Mailing address:
  • Phone: 314-446-9755
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SIERRA COURTNEY
Title or Position: MANAGER
Credential:
Phone: 314-446-9755