Healthcare Provider Details

I. General information

NPI: 1992804736
Provider Name (Legal Business Name): BI-LINGUAL IN-HOME ASSISTANT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 DELMAR BLVD SUITE 1002
ST LOUIS MO
63124
US

IV. Provider business mailing address

8390 DELMAR BLVD SUITE 1002
ST LOUIS MO
63124
US

V. Phone/Fax

Practice location:
  • Phone: 314-692-8110
  • Fax: 314-692-8111
Mailing address:
  • Phone: 314-692-8110
  • Fax: 314-692-8111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: SVETLANA MIRETSKY
Title or Position: OFFICE MANAGER
Credential:
Phone: 314-692-8110