Provider Demographics
NPI:1043495583
Name:ST. ANDREW'S AT HOME SERVICES, LLC
Entity Type:Organization
Organization Name:ST. ANDREW'S AT HOME SERVICES, LLC
Other - Org Name:ST. ANDREW'S SENIOR SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BANNES
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MA, MA, LNHA
Authorized Official - Phone:314-802-2192
Mailing Address - Street 1:6633 DELMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-4505
Mailing Address - Country:US
Mailing Address - Phone:314-726-5766
Mailing Address - Fax:314-726-5719
Practice Address - Street 1:6633 DELMAR BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-4505
Practice Address - Country:US
Practice Address - Phone:314-726-5766
Practice Address - Fax:314-726-5719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health