Organization · NPI-2

1st Generation Home Health Care LLC

Home Health · Saint Louis, MO

NPI number1235929464
StatusActive
Last updated in NPPESMay 9, 2025

Details

NPI
1235929464
Entity type
Organization (NPI-2)
Legal business name
1st Generation Home Health Care LLC
Organization subpart
No
Enumeration date
May 9, 2025
Certification date
May 9, 2025
Last updated
May 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

1145 Haley Ave
Saint Louis, MO 63121-1205

Phone 314-201-2488

Mailing address

1145 Haley Ave
Saint Louis, MO 63121-1205

Phone 314-201-2488

Authorized official

Tiara Banks
Owner
3142012488

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