Provider Demographics
NPI:1336805068
Name:ONE 4 ALL HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ONE 4 ALL HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSINA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-326-0552
Mailing Address - Street 1:9191 W FLORISSANT AVE STE 200B1
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-1413
Mailing Address - Country:US
Mailing Address - Phone:314-326-0552
Mailing Address - Fax:314-366-9828
Practice Address - Street 1:9191 W FLORISSANT AVE STE 200B1
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-1413
Practice Address - Country:US
Practice Address - Phone:314-326-0552
Practice Address - Fax:314-366-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health