Provider Demographics
NPI:1245048107
Name:HERE AT HOME HEALTHCARE
Entity type:Organization
Organization Name:HERE AT HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/COO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:STIPPEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-910-1397
Mailing Address - Street 1:613 BIG BEND RD STE 1767
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7735
Mailing Address - Country:US
Mailing Address - Phone:314-708-8716
Mailing Address - Fax:
Practice Address - Street 1:16511 WILD HORSE CREEK RD APT 241
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-1435
Practice Address - Country:US
Practice Address - Phone:314-708-8716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care