Provider Demographics
NPI:1568828341
Name:AMERAHEALTH HOME CARE, LLC
Entity Type:Organization
Organization Name:AMERAHEALTH HOME CARE, LLC
Other - Org Name:AMERAHEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAKEIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:866-828-0880
Mailing Address - Street 1:PO BOX 300318
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-0489
Mailing Address - Country:US
Mailing Address - Phone:866-828-0080
Mailing Address - Fax:866-939-0330
Practice Address - Street 1:744 SPIRIT OF SAINT LOUIS BLVD STE J
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1024
Practice Address - Country:US
Practice Address - Phone:866-828-0880
Practice Address - Fax:866-939-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 253Z00000X, 291U00000X, 385H00000X
MS899542251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No291U00000XLaboratoriesClinical Medical Laboratory
No385H00000XRespite Care FacilityRespite Care