=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487466199
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SARAH AND ROBERT SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/21/2025
-----------------------------------------------------
Last Update Date | 01/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 GREENWAY MANOR DR
-----------------------------------------------------
City | FLORISSANT
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-327-3543
-----------------------------------------------------
Fax | 314-838-2616
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 GREENWAY MANOR DR
-----------------------------------------------------
City | FLORISSANT
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-327-3543
-----------------------------------------------------
Fax | 314-838-2616
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | ASHLEY D HALL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 314-498-8145
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------