Organization · Type 2 NPI

Provident In Home Services, LLC

In Home Supportive Care Agency · St. Louis, MO

NPI number 1326644808 Active

Practice location

1515 N Warson Rd Ste 241
St. Louis, MO 63132-1109

Call (314) 736-1919 Map

Fax (314) 736-1787

Mailing address

1 S Florissant Rd
Ferguson, MO 63135-2333

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency Primary 253Z00000XNone listed
Health Maintenance Organization 302R00000XNone listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1326644808

Provident In Home Services, LLC's National Provider Identifier is 1326644808, issued on Dec 9, 2020. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 4, 2023.