Healthcare Provider Details
I. General information
NPI: 1831710326
Provider Name (Legal Business Name): PANAKEIA IN-HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2020
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9663 PAGE AVE
SAINT LOUIS MO
63132-1525
US
IV. Provider business mailing address
9663 PAGE AVE
SAINT LOUIS MO
63132-1525
US
V. Phone/Fax
- Phone: 314-428-2328
- Fax:
- Phone: 314-428-2328
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 372500000X |
| Taxonomy | Chore Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHEY
VERBECK
Title or Position: PRESIDENT
Credential:
Phone: 314-428-2328