Healthcare Provider Details

I. General information

NPI: 1417622176
Provider Name (Legal Business Name): TOUCH OF THE HEART HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2021
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12406 LUSHER RD
SAINT LOUIS MO
63138-1456
US

IV. Provider business mailing address

12406 LUSHER RD
SAINT LOUIS MO
63138-1456
US

V. Phone/Fax

Practice location:
  • Phone: 314-475-5510
  • Fax: 314-475-3774
Mailing address:
  • Phone: 314-475-5510
  • Fax: 314-475-3774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: NATAVIA LESANTO BOYD
Title or Position: OWNER
Credential:
Phone: 314-616-8635