Provider Demographics
NPI:1801352638
Name:A BLESSED HEART HOME HEALTH
Entity type:Organization
Organization Name:A BLESSED HEART HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXI
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-578-9178
Mailing Address - Street 1:19 BEHLMANN ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2852
Mailing Address - Country:US
Mailing Address - Phone:314-578-9178
Mailing Address - Fax:
Practice Address - Street 1:19 BEHLMANN ESTATES CT
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-2852
Practice Address - Country:US
Practice Address - Phone:314-578-9178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-17
Last Update Date:2019-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care