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Contact Information

BLAKE IN HOME HEALTH SERVICE LLC
7220 N LINDBERGH BLVD # 210
HAZELWOOD, MO63042-2019
 Phone: 314-224-8411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Home Health Aide

374U00000X
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for BLAKE IN HOME HEALTH SERVICE LLC

NPI Number 1063998276
LBN Legal business name BLAKE IN HOME HEALTH SERVICE LLC
Authorized official THOMAS BLAKE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2018
Last updated 02/14/2022 - About 4 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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