Provider Demographics
NPI:1043679228
Name:A PLUS IN-HOME WELLNESS LLC
Entity Type:Organization
Organization Name:A PLUS IN-HOME WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-594-9938
Mailing Address - Street 1:400 N 5TH STREET
Mailing Address - Street 2:STE 105
Mailing Address - City:ST CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301
Mailing Address - Country:UM
Mailing Address - Phone:314-594-9938
Mailing Address - Fax:314-594-5806
Practice Address - Street 1:400 N 5TH ST
Practice Address - Street 2:STE 105
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-1800
Practice Address - Country:US
Practice Address - Phone:314-594-9938
Practice Address - Fax:314-594-5806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health