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General NPI Number Information
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NPI Number | 1992227128
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Entity Type | Organization
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Legal Business Name | ANGELS OF VIRTUE HEALTHCARE
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 07/10/2017
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Provider Practice Location Address
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Address Line | 3149 MERAMEC ST
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City | SAINT LOUIS
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State | MO
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Zip | 63118-4338
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Country | US
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Telephone | 618-855-4353
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Fax | 618-855-4353
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Provider Business Mailing Address
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Address Line | 1415 PRINCETON DR
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City | O FALLON
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State | IL
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Zip | 62269-2717
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Country | US
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Telephone | 618-855-4353
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | EVELYN COLEMAN
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Credential |
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Telephone | 618-855-4353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #7
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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 #8
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #9
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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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