Provider Demographics
NPI:1639664428
Name:HEIGHTEN SENIOR SERVICES, LLC
Entity Type:Organization
Organization Name:HEIGHTEN SENIOR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISHAUNDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-527-2488
Mailing Address - Street 1:8000 NATURAL BRIDGE RD STE 116
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-4402
Mailing Address - Country:US
Mailing Address - Phone:314-527-2488
Mailing Address - Fax:314-527-2603
Practice Address - Street 1:8000 NATURAL BRIDGE RD STE 116
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-4402
Practice Address - Country:US
Practice Address - Phone:314-527-2488
Practice Address - Fax:314-527-2603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care