Provider Demographics
NPI:1891568168
Name:DOVER HOME HEALTH MO STL METRO, LLC
Entity Type:Organization
Organization Name:DOVER HOME HEALTH MO STL METRO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-451-5606
Mailing Address - Street 1:300 HUNTER AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-2328
Mailing Address - Country:US
Mailing Address - Phone:314-884-8817
Mailing Address - Fax:314-627-4890
Practice Address - Street 1:300 HUNTER AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-2328
Practice Address - Country:US
Practice Address - Phone:314-884-8817
Practice Address - Fax:314-627-4890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health