Healthcare Provider Details

I. General information

NPI: 1750802799
Provider Name (Legal Business Name): HEALTH REMEDIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 ELMGROVE LN APT 2
ST. LOUIS MO
63042
US

IV. Provider business mailing address

414 ELM GROVE LN APT 2
HAZELWOOD MO
63042-1932
US

V. Phone/Fax

Practice location:
  • Phone: 314-532-6374
  • Fax:
Mailing address:
  • Phone: 314-532-6374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierO
Identifier TypeOTHER
Identifier State
Identifier IssuerN/A

VIII. Authorized Official

Name: MISS MELODY C HAULCY
Title or Position: PRESIDENT & CEO
Credential: MBA
Phone: 314-532-6374