Provider Demographics
NPI:1700997368
Name:THE POINT OF CHANGE HOSPICE NURSING AGENCY, P.C.
Entity Type:Organization
Organization Name:THE POINT OF CHANGE HOSPICE NURSING AGENCY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-535-4500
Mailing Address - Street 1:4335 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63115-2845
Mailing Address - Country:US
Mailing Address - Phone:314-535-4500
Mailing Address - Fax:314-535-4501
Practice Address - Street 1:4335 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63115-2845
Practice Address - Country:US
Practice Address - Phone:314-535-4500
Practice Address - Fax:314-535-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC6712400251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based