St. Mary's At Home, Llc is a Home Health Agency based in Brentwood, IN. St. Mary's At Home, Llc practices in Evansville, IN. The NPI Number for St. Mary's At Home, Llc is 1780687061 and holds a License No. 007035 (Indiana).
The current practice location address for St. Mary's At Home, Llc is 7321 Eagle Crest Blvd Ste B, Evansville, IN and can be reached out via phone at 812-774-9760 and via fax at 812-475-1739. You can also correspond with St. Mary's At Home, Llc through the mailing address at 10 CADILLAC DR STE 400, BRENTWOOD, TN - 37027-1001 (mailing address contact number: 153-777-0226).
Provider Profile Details
NPI Number
1780687061
Provider Name
St. Mary's At Home, Llc
Credential
Provider Entity Type
Organization
Address
7321 Eagle Crest Blvd Ste B, Evansville, IN, 37027-1001
Phone Number
812-774-9760
Fax Number
812-475-1739
Provider Enumeration Date
05/31/2005
Last Update Date
09/08/2021
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000222679 | 01 | IN | BLUE CROSS INFUSION |
| 000000194515 | 01 | IN | BLUE CROSS HOME HEALTH |
| 100380190 | 05 | IN |
Provider Business Practice Location Address Details
Address
7321 Eagle Crest Blvd Ste B
City
State
Zip
47715-8157
Phone Number
812-774-9760
Fax Number
812-475-1739
Provider Business Mailing Address Details
Address
10 Cadillac Dr Ste 400
City
State
Zip
37027-1001
Phone Number
153-777-0226
Fax Number
615-373-4457
Provider's Primary Taxonomy Details
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
007035 (Indiana)
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.