Provider Demographics
NPI:1558856831
Name:LEA HELEN'S HELPING HANDS FOR SUPPORTIVE CARE, LLC
Entity Type:Organization
Organization Name:LEA HELEN'S HELPING HANDS FOR SUPPORTIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FNP-C/DNP
Authorized Official - Prefix:
Authorized Official - First Name:SECIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHODROSKI
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C,DNP
Authorized Official - Phone:314-222-0711
Mailing Address - Street 1:9717 LANDMARK PARKWAY DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1662
Mailing Address - Country:US
Mailing Address - Phone:314-222-0711
Mailing Address - Fax:314-722-6551
Practice Address - Street 1:9717 LANDMARK PARKWAY DR STE 115
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1662
Practice Address - Country:US
Practice Address - Phone:314-722-6555
Practice Address - Fax:314-722-6551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2019-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO25427946Medicaid