Healthcare Provider Details

I. General information

NPI: 1639614365
Provider Name (Legal Business Name): LOU'S LOVING CARE # LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 03/12/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 N SARAH STREET
ST. LOUIS MO
63113
US

IV. Provider business mailing address

1004 N SARAH STREET
ST. LOUIS MO
63113
US

V. Phone/Fax

Practice location:
  • Phone: 314-899-0770
  • Fax: 314-768-0371
Mailing address:
  • Phone: 314-899-0770
  • Fax: 314-768-0371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BELINDA MCKINNEY
Title or Position: MANAGER
Credential:
Phone: 314-899-0770