NPI 1174284939 · live from the CMS NPI Registry
1st Home Away From Home LLC
Home Health in Saint Louis, MO. National Provider Identifier 1174284939, active.
NPI record
| NPI | 1174284939 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 4735 Plover Ave, Saint Louis, MO 63120 |
| Practice phone | 314-479-1673 |
| Enumerated | January 4, 2022 |
| Last updated | January 4, 2022 |
| Authorized official | Lawanda Guest, Executive Director |
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.