Additional in Home Care, Inc.

Organization Active NPI Chore Provider · O Fallon, MO

NPI 1689004673 · NPPES record last updated Nov 8, 2022

Key facts

NPI
1689004673
Entity type
Organization (NPI type 2)
Primary specialty
Chore Provider 372500000X
Legal business name
ADDITIONAL IN HOME CARE, INC.
Practice address
801 S Woodlawn
Ste. 27
O Fallon, MO 63366-7646
Phone
(636) 294-6324
Fax
(866) 277-3475
NPI assigned
Nov 12, 2013
Organization subpart
No

Authorized official

Name
Ms. Crystal Lynn Daniels
Title
President
Phone
(314) 497-5990

National Provider Directory

Locations

801 S Woodlawn Ave
Ste 29
O Fallon, MO 63366
Phone (636) 294-6324

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Chore Provider
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
372500000X Yes
Personal Care Attendant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
3747P1801X
Homemaker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
376J00000X

Addresses

Primary practice location

801 S Woodlawn
Ste. 27
O Fallon, MO 63366-7646

Mailing address

801 Woodlawn Ave Ste 29
O Fallon, MO 63366-7647
Phone (636) 294-6324

Other providers in O Fallon, MO

All providers in O Fallon, MO · Chore Provider in Missouri

Sources for this page

Verify at the official NPI Registry.