Provider Demographics
NPI:1417139809
Name:ATTENTIVE IN-HOME HEALTH CARE
Entity Type:Organization
Organization Name:ATTENTIVE IN-HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:314-770-1277
Mailing Address - Street 1:4905 N HIGHWAY 67
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2807
Mailing Address - Country:US
Mailing Address - Phone:314-770-1277
Mailing Address - Fax:314-972-1418
Practice Address - Street 1:4905 N HIGHWAY 67
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-2807
Practice Address - Country:US
Practice Address - Phone:314-770-1277
Practice Address - Fax:314-972-1418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health