Provider Demographics
NPI:1578000980
Name:HOME HEROES HEALTH NETWORK LLC
Entity Type:Organization
Organization Name:HOME HEROES HEALTH NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIANNA
Authorized Official - Middle Name:RASHAY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-529-1056
Mailing Address - Street 1:1460 E POND DR
Mailing Address - Street 2:13
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2389
Mailing Address - Country:US
Mailing Address - Phone:314-529-1056
Mailing Address - Fax:314-228-0096
Practice Address - Street 1:8432 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:MO
Practice Address - Zip Code:63134-1922
Practice Address - Country:US
Practice Address - Phone:314-529-1056
Practice Address - Fax:314-228-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health