Organization · Type 2 NPI

In Home Health LLC

Community Based Hospice Care Agency · St. Louis, MO

NPI number 1629022918 Active

Practice location

12101 Woodcrest Executive Dr, Suite 102
St. Louis, MO 63141-5047

Call (314) 453-0990 Map

Fax (314) 453-0290

Mailing address

333 N Summit St, Attn Dean Shipman
Toledo, OH 43604-2615

Other practice locations

770 Independence Dr, Union, MO 63084-1071 · (636) 390-4723
1097 Wentzville Pkwy, Wentzville, MO 63385-3537 · (636) 327-4018
533 Bailey Rd, Crystal City, MO 63019-1701 · (636) 543-2117

Specialties and licenses

Taxonomy	Code	License
Hospice and Palliative Medicine (Internal Medicine) Physician	207RH0002X	None listed
Community Based Hospice Care Agency Primary	251G00000X	110-7HO (MO)

Community Based Hospice Care Agency: Definition to come...

10 other providers at this address

Other community based hospice care agency providers in St. Louis

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NPI record

NPI: 1629022918
Entity type: Organization (Type 2)
Issued: May 20, 2006
Last updated: Apr 15, 2022
Status: Active

Other names

<unavail>
Heartland Hospice Services · doing business as
Promedica Hospice (festus) · doing business as
Promedica Hospice (st. Louis) · doing business as
Promedica Hospice (washington) · doing business as
Promedica Hospice (wentzville) · doing business as

Authorized official

Mr. Martin D Allen
Director
(419) 252-5734

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629022918

In Home Health LLC's National Provider Identifier is 1629022918, issued on May 20, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 15, 2022.