Healthcare Provider Details

I. General information

NPI: 1770149023
Provider Name (Legal Business Name): CLOUDS OF CARE IN-HOME HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 08/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 MAGNOLIA AVE
SAINT LOUIS MO
63118
US

IV. Provider business mailing address

3450 MAGNOLIA AVE
SAINT LOUIS MO
63118-1132
US

V. Phone/Fax

Practice location:
  • Phone: 314-226-7516
  • Fax: 314-652-1736
Mailing address:
  • Phone: 314-226-7516
  • Fax: 314-652-1736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care 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
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NINA ALGEE
Title or Position: MANAGER
Credential:
Phone: 314-226-7516