Healthcare Provider Details

I. General information

NPI: 1689043713
Provider Name (Legal Business Name): RESCUED HOME HEALTH CARE SVC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 09/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 CHAMBERS RD
SAINT LOUIS MO
63135-2270
US

IV. Provider business mailing address

1440 CHAMBERS RD
SAINT LOUIS MO
63135-2270
US

V. Phone/Fax

Practice location:
  • Phone: 314-521-7930
  • Fax: 314-524-3811
Mailing address:
  • Phone: 314-521-7930
  • Fax: 314-524-3811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: SHAWN WARD
Title or Position: DIRECTOR
Credential:
Phone: 314-348-9273