Healing Waters of St Louis LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

HEALING WATERS OF ST LOUIS LLC

Practice address

1670 Horseshoe Dr
Florissant, MO 63033-2526

Phone

(314) 397-6197

NPI assigned

Aug 19, 2019

Organization subpart

No

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

Authorized official

Name

Adrienne Renee Harris

Title

Owner

Phone

(314) 397-6197

Specialties & licenses 1

Addresses

Other names 1

• N/A Doing business as

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1104473750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 HORSESHOE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332526",
            "telephone_number": "314-397-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 HORSESHOE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332526",
            "telephone_number": "314-397-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS OF ST LOUIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-397-6197"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hazelwood School District
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• Healing Waters Adult Daycare
• Healing Waters Labcorp LLC
• Healing With Harotian, LLC
• Health Care Connections Services LLC
• Health Market Associates LLC,
• Healthy Life Home Care
• Healthy Strandz LLC

• Personal Care Attendant in Florissant, MO
• Providers in Florissant, MO by specialty
• Personal Care Attendant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.