Homestead Health Care LLC
Organization Active NPI In Home Supportive Care Agency · Black Jack, MO
NPI 1053825596 · NPPES record last updated Jun 9, 2023
Key facts
- NPI
- 1053825596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- HOMESTEAD HEALTH CARE LLC
- Practice address
- 12405 Old Halls Ferry Rd Ste 100
Black Jack, MO 63033-4261 - Phone
- (314) 757-9535
- NPI assigned
- Nov 20, 2017
- Organization subpart
- No
Authorized official
- Name
- Monique Montgomery
- Title
- Executive Director
- Phone
- (314) 395-3006
National Provider Directory
Locations
12405 Old Halls Ferry Rd
Ste 100
Black Jack, MO 63033
Phone (314) 757-9535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
12405 Old Halls Ferry Rd Ste 100
Black Jack, MO 63033-4261
Mailing address
12405 Old Halls Ferry Rd Ste 100
Black Jack, MO 63033-4261
Other providers in Black Jack, MO
- Grandma'S Angels Consumer Directed Services LLC
- Mondrakus Harper
- Laquita Larai Harris
- Gabrielle Herod
- Homestead Health Care IHS LLC
- Marilyn Hubbard
- Infinity Health Solutions, LLC
- J & S Complete Health Care IHS LLC
- J & S'S Complete Health Care LLC
- Raquel Jenkins
All providers in Black Jack, MO · In Home Supportive Care Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.