Provider Demographics
NPI:1710669262
Name:ANNIES HANDS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ANNIES HANDS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOTANGA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:636-410-8010
Mailing Address - Street 1:1360 S 5TH ST STE 386
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2447
Mailing Address - Country:US
Mailing Address - Phone:636-410-8010
Mailing Address - Fax:636-410-8799
Practice Address - Street 1:1360 S 5TH ST STE 386
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2447
Practice Address - Country:US
Practice Address - Phone:636-410-8010
Practice Address - Fax:636-410-8799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health