# COMMUNITY IN-HOME SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154328631
- **Authorized official:** JAMES GIARDINA (PRESIDENT)
- **Authorized official phone:** (636) 394-3000

## Contact information

- **Practice address:** 312 SOLLEY DR REAR, BALLWIN, MO 63021-5248
- **Practice address phone:** (636) 394-3000
- **Practice address fax:** (636) 394-7713
- **Mailing address:** 312 SOLLEY DR, REAR, BALLWIN, MO 63021-5248
- **Mailing address phone:** (636) 394-3000
- **Mailing address fax:** (636) 394-7713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | ERS10406-070 | MO | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 03/11/2008