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General NPI Number Information
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NPI Number | 1972101822
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Entity Type | Organization
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Legal Business Name | HILL'S HEAVENLY HELPING HANDS, LLC
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 525 RUE SAINT FRANCOIS ST STE 7
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City | FLORISSANT
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State | MO
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Zip | 63031-5036
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Country | US
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Telephone | 314-736-6111
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Fax | 314-736-6112
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Provider Business Mailing Address
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Address Line | 525 RUE SAINT FRANCOIS ST STE 7
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City | FLORISSANT
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State | MO
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Zip | 63031-5036
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Country | US
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Telephone | 314-736-6111
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Fax | 314-736-6112
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Authorized Official
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Title or Position | OWNER
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Name | MR. EDGAR DEJUAN HARRIS
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Credential |
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Telephone | 314-484-0405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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