Provider Demographics
NPI:1710386529
Name:A BLESSED HEART, LLC.
Entity Type:Organization
Organization Name:A BLESSED HEART, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DESIGNATED MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-716-2373
Mailing Address - Street 1:1607 KEELEN DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-2438
Mailing Address - Country:US
Mailing Address - Phone:314-716-2373
Mailing Address - Fax:314-716-3325
Practice Address - Street 1:1607 KEELEN DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-2438
Practice Address - Country:US
Practice Address - Phone:314-716-2373
Practice Address - Fax:314-716-3325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health