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Contact Information

CHARITY'S HOME HEALTH CARE AVENCY, INC
12405 OLD HALLS FERRY ROAD
BLACK JACK, MO63033
 Phone: 314-438-1800
 Fax: 314-438-9943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CHARITY'S HOME HEALTH CARE AVENCY, INC

NPI # 1386911121
LBN Legal business name CHARITY'S HOME HEALTH CARE AVENCY, INC
Authorized official CORELINE BROWN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/22/2011
Last updated 11/22/2011 - About 15 years ago
Identifiers
MO License # 00549535
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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