Provider Demographics
NPI:1942802103
Name:CUNNINGHAM'S IN-HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:CUNNINGHAM'S IN-HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:ANDREIA
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-922-7425
Mailing Address - Street 1:5346 VILLE MARIA LN
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-1144
Mailing Address - Country:US
Mailing Address - Phone:314-922-7425
Mailing Address - Fax:
Practice Address - Street 1:5346 VILLE MARIA LN
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1144
Practice Address - Country:US
Practice Address - Phone:314-922-7425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health