Provider Demographics
NPI:1669594669
Name:J. W. H. HEALTHCARE SERVICES
Entity type:Organization
Organization Name:J. W. H. HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WESTFALL-HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:RN-B
Authorized Official - Phone:314-645-5775
Mailing Address - Street 1:3530 GREENWOOD BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63143-4211
Mailing Address - Country:US
Mailing Address - Phone:314-645-5775
Mailing Address - Fax:314-645-1265
Practice Address - Street 1:3530 GREENWOOD BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:MAPLEWOOD
Practice Address - State:MO
Practice Address - Zip Code:63143-4211
Practice Address - Country:US
Practice Address - Phone:314-645-5775
Practice Address - Fax:314-645-1265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO051659163W00000X, 163WC1600X, 163WG0000X, 163WH0200X, 163WG0600X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontologyGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff DevelopmentGroup - Multi-Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO269719209Medicaid
MO289719304Medicaid