Healthcare Provider Details

I. General information

NPI: 1346759164
Provider Name (Legal Business Name): HEALING HANDS HOMECARE AND COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10439 GARDO CT
SAINT LOUIS MO
63137
US

IV. Provider business mailing address

10439 GARDO CT
SAINT LOUIS MO
63137-3507
US

V. Phone/Fax

Practice location:
  • Phone: 314-813-4458
  • Fax: 314-736-6988
Mailing address:
  • Phone: 314-813-4458
  • Fax: 314-736-6988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: IVORIE DANIELLE CHAMBERS
Title or Position: OWNER/ OPERATOR
Credential: CNA
Phone: 314-813-4458