Healthcare Provider Details

I. General information

NPI: 1477786663
Provider Name (Legal Business Name): ADVANCE IN HOME SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3306 BROWN RD
SAINT LOUIS MO
63114-4328
US

IV. Provider business mailing address

3306 BROWN RD
SAINT LOUIS MO
63114-4328
US

V. Phone/Fax

Practice location:
  • Phone: 314-567-7182
  • Fax: 314-567-1940
Mailing address:
  • Phone: 314-567-7182
  • Fax: 314-567-1940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA HILTON
Title or Position: DIRECTOR
Credential: R.N.
Phone: 314-567-0073