Provider Demographics
NPI:1689043713
Name:RESCUED HOME HEALTH CARE SVC, INC
Entity Type:Organization
Organization Name:RESCUED HOME HEALTH CARE SVC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-348-9273
Mailing Address - Street 1:1440 CHAMBERS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63135-2270
Mailing Address - Country:US
Mailing Address - Phone:314-521-7930
Mailing Address - Fax:314-524-3811
Practice Address - Street 1:1440 CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63135-2270
Practice Address - Country:US
Practice Address - Phone:314-521-7930
Practice Address - Fax:314-524-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No302R00000XManaged Care OrganizationsHealth Maintenance Organization