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General NPI Number Information
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NPI Number | 1922386689
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Entity Type | Organization
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Legal Business Name | PASSAGES HOSPICE OF MISSOURI, LLC
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 10/09/2013
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Provider Practice Location Address
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Address Line | 1120 S 6TH ST SUITE 500
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City | SAINT LOUIS
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State | MO
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Zip | 63104-3602
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Country | US
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Telephone | 815-674-0292
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 S 6TH ST SUITE 500
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City | SAINT LOUIS
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State | MO
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Zip | 63104-3602
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MR. SETH GILLMAN
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Credential |
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Telephone | 630-824-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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