Grandmom Honey LLC
Nursing Care in Saint Louis, MO. Organization (NPI-2).
NPI number1407775752
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1407775752
- Entity type
- Organization (NPI-2)
- Legal business name
- Grandmom Honey LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2026
- Certification date
- Jul 12, 2026
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 251E00000X | Home Health | – | – |
Practice location
4433 Woodson Rd Ste 240Saint Louis, MO 63134-3721
Phone 314-499-0300 · Fax 314-499-4549
Mailing address
4433 Woodson Rd Ste 240Saint Louis, MO 63134-3721
Phone 314-499-0300 · Fax 314-499-4549
Authorized official
Premmie R Harris
Owner/Don
5572379333
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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