FACTS OF LIFE IN HOME SERVICE, INC. (NPI# 1710124870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710124870 |
| Entity Type | Organization |
| Organization Name | FACTS OF LIFE IN HOME SERVICE, INC. |
| Practice Address |
456 Howdershell Rd Florissant MO 63031-6419 |
| Practice Telephone | 3144841255 |
| Practice Fax Number | 3148383388 |
| Mailing Telephone | 3144841255 |
| Mailing Fax Number | 3148383388 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-11-03 |
| Authorized Official Name | MS. CRYSTAL LYNN DANIELS (DIRECTOR) |
| Authorized Official Telephone | 3144841255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
456 HOWDERSHELL RD |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-6419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| 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 |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343127 | Ardella Watkins | Technician | 3878 Hirondelle Ln, Florissant, MO 63034-2308 | 2020-07-16 |
| 1104473750 | Healing Waters of St Louis LLC | Technician | 1670 Horseshoe Dr, Florissant, MO 63033-2526 | 2019-08-19 |
| 1790250785 | Keisha Robinson | Technician | 6943 Jamestown Way Dr, Florissant, MO 63033-5135 | 2018-10-05 |
| 1033575873 | Craig Dixson | Technician | 3904 Hermans Lake Ct, Florissant, MO 63034-1561 | 2016-01-09 |
| 1033519889 | Comfort Healthcare At Home, Inc | Technician | 6787 Blossom View Dr, Florissant, MO 63033-5133 | 2014-08-29 |
| 1598170243 | Kennyetta Chatman | Technician | 3668 Whispering Woods Dr, Florissant, MO 63031-1100 | 2014-06-20 |
| 1467876763 | Active Care Home Services, Inc | Technician | 4578 Behlmann Grove Pl, Florissant, MO 63034-2860 | 2014-02-07 |
| 1225459092 | Shauneille Conner | Technician | 3445 Amblewood Dr, Florissant, MO 63033-3902 | 2013-12-22 |
| 1932539087 | Niesha Mcdaniel | Technician | 2387 Millvalley Dr, Florissant, MO 63031-2821 | 2013-11-26 |
| 1346596772 | Monica Beatrice Perry | Technician | 14479 Rockypoint Dr, Florissant, MO 63034-2647 | 2012-08-03 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.