Healthcare Provider Details

I. General information

NPI: 1255867024
Provider Name (Legal Business Name): GIVING HOUSE OF LIFE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N WARSON RD STE 297
SAINT LOUIS MO
63132-1110
US

IV. Provider business mailing address

1991 SHOREHAM DR
FLORISSANT MO
63033-1235
US

V. Phone/Fax

Practice location:
  • Phone: 314-665-9134
  • Fax: 314-985-5899
Mailing address:
  • Phone: 314-665-9134
  • Fax: 773-496-7068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. EBONY S WASHINGTON
Title or Position: OWNER/CEO/PRESIDENT
Credential:
Phone: 314-665-9134