Provider Demographics
NPI:1851808257
Name:HEALING STREAMS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:HEALING STREAMS HOME HEALTH CARE LLC
Other - Org Name:HEALING STREAMS HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-629-4782
Mailing Address - Street 1:4255 GREENSBORO DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-1612
Mailing Address - Country:US
Mailing Address - Phone:314-629-4782
Mailing Address - Fax:
Practice Address - Street 1:4255 GREENSBORO DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-1612
Practice Address - Country:US
Practice Address - Phone:314-629-4782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-07
Last Update Date:2018-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health