WALLACE FAMILY IN HOME HEALTH LLC

In Home Supportive Care

An In Home Supportive Care Agency provides services in the patient?s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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Contact Information

WALLACE FAMILY IN HOME HEALTH LLC

3937 PARK AVE
PARK WAREHOUSE
SAINT LOUIS, MO 63110-2317

Phone: 314-713-1105
Fax: 314-754-9969
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
In Home Supportive Care	253Z00000X
Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for WALLACE FAMILY IN HOME HEALTH LLC

NPI #	`1841698388`
LBN Legal business name	WALLACE FAMILY IN HOME HEALTH LLC
Authorized official	BRITTANY JACKSON - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/16/2014
Last updated	12/16/2014 - About 11 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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