Provider Demographics
NPI:1710519426
Name:DEAR HOME HEALTH
Entity Type:Organization
Organization Name:DEAR HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIARA
Authorized Official - Middle Name:CHEVELLE
Authorized Official - Last Name:DEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-833-3258
Mailing Address - Street 1:1409 WASHINGTON AVE STE 414
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-1917
Mailing Address - Country:US
Mailing Address - Phone:314-833-3258
Mailing Address - Fax:314-833-3168
Practice Address - Street 1:1409 WASHINGTON AVE STE 414
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-1917
Practice Address - Country:US
Practice Address - Phone:314-833-3258
Practice Address - Fax:314-833-3168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care