Organization · NPI-2

Allegiance Home Healthcare Cds

Home Health · Saint Louis, MO

NPI number1962045336

StatusActive

Last updated in NPPESOct 17, 2019

Details

NPI: 1962045336
Entity type: Organization (NPI-2)
Legal business name: Allegiance Home Healthcare Cds
Organization subpart: Yes
Enumeration date: Oct 17, 2019
Last updated: Oct 17, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
253Z00000X	In Home Supportive Care	–	–
310400000X	Assisted Living Facility	–	–
374U00000X	Home Health Aide	–	–

Practice location

6439 Plymouth Ave # W116
Saint Louis, MO 63133-1905

Phone 314-341-0915 · Fax 314-839-8506

Mailing address

Po Box 775015
Saint Louis, MO 63177-5015

Phone 314-341-0915 · Fax 314-839-8506

Authorized official

Marsha D Mitchell
Owner/Executive Director
3143410915

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.