HOME FOREVER PROFESSIONAL CARE (NPI# 1841735602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841735602 |
| Entity Type | Organization |
| Organization Name | HOME FOREVER PROFESSIONAL CARE |
| Other Organization Name | HOME FOREVER PROFESSIONAL CARE |
| Practice Address |
3621 Louisiana Ave Saint Louis MO 63118-3509 |
| Practice Telephone | 3145502990 |
| Practice Fax Number | 3146826047 |
| Mailing Telephone | 3145502990 |
| Mailing Fax Number | 3146826047 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | ETIENNA COLEMAN (CEO) |
| Authorized Official Telephone | 3146826047 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | MO | Agencies |
| Other Name | Type Code |
|---|---|
| Home Forever Professional Care | Doing Business As Name - Organization |
| Street Address |
3621 LOUISIANA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780135020 | Etienna Coleman | Home Health Aide | 3621 Louisiana Ave, Saint Louis, MO 63118-3509 | 2016-10-21 |
| 1811420680 | Home Forever Professional Care LLC | Home Health | 3621 Louisiana Ave, Saint Louis, MO 63118-3509 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033468 | Annette Presley | Home Health | 3008 Glade Ave, Saint Louis, MO 63136-1513 | 2020-11-04 |
| 1558962787 | Thoughti Inc. | Home Health | 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 | 2020-11-04 |
| 1700487386 | Cwc Ihs, LLC | Home Health | 2347 Vorhof Dr, Saint Louis, MO 63136-5727 | 2020-11-02 |
| 1154922698 | Ericka Nycole Willis | Home Health | 4031 Dryden Ave, Saint Louis, MO 63115-2444 | 2020-11-02 |
| 1275133837 | Delicate Care, LLC | Home Health | 523 Coppinger Dr, Saint Louis, MO 63135-2111 | 2020-10-31 |
| 1629678818 | Modern Day Home Health Care | Home Health | 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 | 2020-10-28 |
| 1295334407 | Time of Serenity, LLC | Home Health | 5842 Macklind Ave, Saint Louis, MO 63109-3569 | 2020-10-19 |
| 1073112280 | Love Is Key Consumer Direct Services LLC | Home Health | 4261 W Garfield Ave, Saint Louis, MO 63113-2643 | 2020-10-19 |
| 1821696568 | Steady Hand Home Health Care | Home Health | 2014 Nemnich Rd Apt 6, Saint Louis, MO 63136-2948 | 2020-10-14 |
| 1730786633 | Hand of Hearts, LLC | Home Health | 1388 Union Blvd, Saint Louis, MO 63113-1325 | 2020-10-04 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on HOME FOREVER PROFESSIONAL CARE.
| 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.