Provider Demographics
NPI:1770258238
Name:ACTS IN HOME, LLC
Entity Type:Organization
Organization Name:ACTS IN HOME, LLC
Other - Org Name:ACTS IN HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-553-9398
Mailing Address - Street 1:7710 CARONDELET AVE STE 507
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3323
Mailing Address - Country:US
Mailing Address - Phone:314-373-0370
Mailing Address - Fax:314-553-9358
Practice Address - Street 1:7710 CARONDELET AVE STE 507
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3323
Practice Address - Country:US
Practice Address - Phone:314-373-0370
Practice Address - Fax:314-553-9358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0017949Medicaid