Provider Demographics
NPI:1588221683
Name:JOY HOME HEALTH, LLC
Entity Type:Organization
Organization Name:JOY HOME HEALTH, LLC
Other - Org Name:JOY HOME HEALTH, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE COORDINATOR/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-504-1997
Mailing Address - Street 1:100 RUE SAINT FRANCOIS ST STE 115
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-5134
Mailing Address - Country:US
Mailing Address - Phone:314-504-1997
Mailing Address - Fax:
Practice Address - Street 1:100 RUE SAINT FRANCOIS ST STE 215
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-5134
Practice Address - Country:US
Practice Address - Phone:314-504-1997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health