Individual provider · Type 1 NPI

Latreisha Green

Home Health Agency · St. Louis, MO

NPI number 1790609204 Active

Practice location

12026 San Ricardo Ct Apt 1
St. Louis, MO 63138-1934

Call (314) 222-2028 Map

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 1790609204

Latreisha Green's National Provider Identifier is 1790609204, issued on Aug 6, 2026. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 6, 2026.