Provider Demographics
NPI:1386001808
Name:LOVE & EMPOWERMENT HOME HEALTH LLC
Entity Type:Organization
Organization Name:LOVE & EMPOWERMENT HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VERSE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-766-1424
Mailing Address - Street 1:5261 DELMAR BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-1013
Mailing Address - Country:US
Mailing Address - Phone:314-499-8802
Mailing Address - Fax:
Practice Address - Street 1:5261 DELMAR BLVD STE 307
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1013
Practice Address - Country:US
Practice Address - Phone:314-499-8802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care