Provider Demographics
NPI:1528581642
Name:MS. RUBY'S HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:MS. RUBY'S HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HATTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-574-8635
Mailing Address - Street 1:8 BEAUJOLAIS DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-8601
Mailing Address - Country:US
Mailing Address - Phone:844-677-8297
Mailing Address - Fax:
Practice Address - Street 1:8 BEAUJOLAIS DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8601
Practice Address - Country:US
Practice Address - Phone:844-677-8297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care