Davis Reliable Home Healthcare Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DAVIS RELIABLE HOME HEALTHCARE AGENCY

Doing business as

HEALING WATERS OF ST LOUIS LLC

Practice address

100 S 4TH St Ste 550
Saint Louis, MO 63102-1897

Phone

(314) 371-8043

Fax

(314) 558-3955

NPI assigned

Mar 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latoya Davis

Title

Owner

Phone

(314) 371-8043

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HEALING WATERS OF ST LOUIS LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1023768421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST STE 550",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021897",
            "telephone_number": "314-371-8043",
            "fax_number": "314-558-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST STE 550",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021897",
            "telephone_number": "314-371-8043",
            "fax_number": "314-558-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS RELIABLE HOME HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-371-8043"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09141981",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALING WATERS OF ST LOUIS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Davila, MD
• Rosa Maria Davila, MD
• Victor G Davila, MD
• Davis Health Group LLC
• Davis Pain & Injury Rehabilitation LLC
• Cheryl Davis-Brooks
• Chaunta S Davis-Gibbs, CNA
• Christina Dawn Davis-Stellwag
• Albert Augustus Davis, MD
• Alexander Stein Davis, PMHNP

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.