Provider Demographics
NPI:1407367477
Name:HEALTHY FAMILY HOME CARE, LLC
Entity Type:Organization
Organization Name:HEALTHY FAMILY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REZEARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:314-287-9186
Mailing Address - Street 1:16024 MANCHESTER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2195
Mailing Address - Country:US
Mailing Address - Phone:636-594-2332
Mailing Address - Fax:314-274-6366
Practice Address - Street 1:16024 MANCHESTER RD STE 200
Practice Address - Street 2:
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011-2195
Practice Address - Country:US
Practice Address - Phone:636-594-2332
Practice Address - Fax:314-274-6366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health