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HEALING WATERS OF ST LOUIS LLC NPI 1104473750


NPI Information

NPI: 1104473750
Provider Name: HEALING WATERS OF ST LOUIS LLC
Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

CLIA Number: 26D2252216

Address:
1670 HORSESHOE DR
FLORISSANT, MO
ZIP 63033
Phone: (314) 397-6197
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HEALING WATERS OF ST LOUIS LLC is a personal care attendant technician in Florissant, MO. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards HEALING WATERS OF ST LOUIS LLC NPI is 1104473750. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1670 HORSESHOE DR
FLORISSANT, MO
ZIP 63033-526
Phone: (314) 397-6197

The provider's authorized official is Adrienne Renee Harris .
The authorized official title is Owner and has the following contact phone number (314) 397-6197.

The CLIA number assigned to this NPI record is 26D2252216 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2019 and was last updated on 8/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13747P1801XTechnicianPersonal Care AttendantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.