Provider Demographics
NPI:1356947956
Name:HEART & SOUL HEALTH LLC
Entity type:Organization
Organization Name:HEART & SOUL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BORDERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:314-380-0492
Mailing Address - Street 1:1016 ADVOCATE CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2061
Mailing Address - Country:US
Mailing Address - Phone:314-548-3100
Mailing Address - Fax:314-720-6263
Practice Address - Street 1:2065 WALTON RD STE 412
Practice Address - Street 2:
Practice Address - City:OVERLAND
Practice Address - State:MO
Practice Address - Zip Code:63114-5805
Practice Address - Country:US
Practice Address - Phone:314-380-0492
Practice Address - Fax:314-720-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health