Organization · Type 2 NPI

Devine Health Consumer Directed Services LLC

Home Health Agency · Black Jack, MO

NPI number 1225903149 Active

Practice location

12405 Old Halls Ferry Rd # 325
Black Jack, MO 63033-4204

Call (314) 221-3495 Map

Fax (615) 541-3381

Mailing address

844 Carson Rd
St. Louis, MO 63135-2349

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1225903149

Devine Health Consumer Directed Services LLC's National Provider Identifier is 1225903149, issued on Oct 9, 2025. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Black Jack, MO. The record was last updated on Oct 9, 2025.