Provider Demographics
NPI:1245083054
Name:SANTOS HOME HEALTHCARE
Entity type:Organization
Organization Name:SANTOS HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DEMARCO
Authorized Official - Middle Name:H
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:314-455-9471
Mailing Address - Street 1:12406 LUSHER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63138-1456
Mailing Address - Country:US
Mailing Address - Phone:314-455-9471
Mailing Address - Fax:314-455-9470
Practice Address - Street 1:12406 LUSHER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63138-1456
Practice Address - Country:US
Practice Address - Phone:314-455-9471
Practice Address - Fax:314-455-9470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty