Healthcare Provider Details

I. General information

NPI: 1801389325
Provider Name (Legal Business Name): HART TO HART IN HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2018
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 N KINGSHIGHWAY BLVD STE 104
SAINT LOUIS MO
63113-1400
US

IV. Provider business mailing address

1408 N KINGSHIGHWAY BLVD STE 104
SAINT LOUIS MO
63113-1400
US

V. Phone/Fax

Practice location:
  • Phone: 314-312-0428
  • Fax: 314-736-0879
Mailing address:
  • Phone: 314-312-0428
  • Fax: 314-736-0879

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: KRISIE CATRICE AIKENS
Title or Position: DIRECTOR
Credential:
Phone: 314-312-0428