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Source One Home Healthcare Llc
Home Health Agency in Saint Louis, Missouri
NPI 1457117632

Source One Home Healthcare Llc is a Home Health Agency based in Saint Louis, MO. Source One Home Healthcare Llc practices in Saint Louis, MO. The NPI Number for Source One Home Healthcare Llc is 1457117632 and holds a License No. (Missouri).

The current practice location address for Source One Home Healthcare Llc is 5145V Wallingford Dr, Saint Louis, MO and can be reached out via phone at 314-445-4392.

Location: 5145V Wallingford Dr, Saint Louis, MO, 63121-1014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457117632
Provider Name
Source One Home Healthcare Llc
Credential
Provider Entity Type
Organization
Address
5145V Wallingford Dr, Saint Louis, MO, 63121-1014
Phone Number
314-445-4392
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
5145V Wallingford Dr
City
Saint Louis
State
Missouri
Zip
63121-1014
Phone Number
314-445-4392
Fax Number
person
Provider Business Mailing Address Details
Address
5145V Wallingford Dr
City
Saint Louis
State
Missouri
Zip
63121-1014
Phone Number
314-445-4392
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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