Provider Demographics
NPI:1346884558
Name:CONCIERGE HOME HEALTH CARE
Entity Type:Organization
Organization Name:CONCIERGE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-200-4071
Mailing Address - Street 1:8016 KNIGHTS CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6208
Mailing Address - Country:US
Mailing Address - Phone:314-200-4071
Mailing Address - Fax:314-200-4059
Practice Address - Street 1:8016 KNIGHTS CROSSING DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-6208
Practice Address - Country:US
Practice Address - Phone:314-200-4071
Practice Address - Fax:314-200-4059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care