Provider Demographics
NPI:1295590156
Name:MORNING GLORY HOME CARE
Entity type:Organization
Organization Name:MORNING GLORY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR ACCOUNTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:STEEMKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-327-6531
Mailing Address - Street 1:224 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-1922
Mailing Address - Country:US
Mailing Address - Phone:618-667-8400
Mailing Address - Fax:
Practice Address - Street 1:224 S MAIN ST
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-1922
Practice Address - Country:US
Practice Address - Phone:618-667-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGGS HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care