Polaris Home Health Care St Louis LLC
Home Health in Town And Country, MO. Organization (NPI-2).
NPI number1013669944
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1013669944
- Entity type
- Organization (NPI-2)
- Legal business name
- Polaris Home Health Care St Louis LLC
- Organization subpart
- No
- Enumeration date
- Jan 21, 2022
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Other names
- Aevitas Home Health Of St Louis (Doing Business As)
Practice location
13995 Clayton Rd Ste 100Town And Country, MO 63017-8400
Phone 516-727-1634
Mailing address
525 Chestnut St Ste 102Cedarhurst, NY 11516-2223
Phone 516-727-1634
Authorized official
Samuel Goldner
Authorized Person
5167271634
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