Provider Demographics
NPI:1497075691
Name:MARTHA'S HANDS LLC
Entity Type:Organization
Organization Name:MARTHA'S HANDS LLC
Other - Org Name:MARTHA'S HANDS HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-965-4350
Mailing Address - Street 1:11906 MANCHESTER RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-4503
Mailing Address - Country:US
Mailing Address - Phone:314-965-4350
Mailing Address - Fax:314-965-0123
Practice Address - Street 1:11906 MANCHESTER RD
Practice Address - Street 2:SUITE 204
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-4503
Practice Address - Country:US
Practice Address - Phone:314-965-4350
Practice Address - Fax:314-965-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care