Provider Demographics
NPI:1629191481
Name:FLOWERS HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:FLOWERS HOME HEALTH SERVICES, LLC
Other - Org Name:FLOWERS HOME HEALTH SERVICES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-534-1533
Mailing Address - Street 1:4144 LINDELL BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2932
Mailing Address - Country:US
Mailing Address - Phone:314-534-1533
Mailing Address - Fax:314-543-1535
Practice Address - Street 1:4144 LINDELL BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2927
Practice Address - Country:US
Practice Address - Phone:314-534-1533
Practice Address - Fax:314-534-1535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO285701108Medicaid
MO265701102Medicaid