NPI 1104580620 · live from the CMS NPI Registry
A Zenful Experience Home Health Care LLC
Home Health in Saint Louis, MO. National Provider Identifier 1104580620, active.
NPI record
| NPI | 1104580620 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 5019 Ulena Ave, Saint Louis, MO 63116 |
| Practice phone | 314-478-0292 |
| Enumerated | October 30, 2021 |
| Last updated | October 30, 2021 |
| Authorized official | Everlena Mack, Director |
| Other names | A Zenful Experience Home Health Care LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.