=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942182092
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOVELY DAY HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2025
-----------------------------------------------------
Last Update Date | 12/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 300 FORT ZUMWALT SQ STE 129
-----------------------------------------------------
City | O FALLON
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63366-3066
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-339-2793
-----------------------------------------------------
Fax | 636-339-2790
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 300 FORT ZUMWALT SQ STE 129
-----------------------------------------------------
City | O FALLON
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63366-3066
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-339-2793
-----------------------------------------------------
Fax | 636-339-2790
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | SHERIA M FOX
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 314-258-4651
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------