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Organization
HEAVENLY HANDS HEALTHCARE LLC
Active
Organization
HEAVENLY HANDS HEALTHCARE LLC
Active
Other names
Heavenly Hands Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAKESHA SHARICE GATES (CEO &FOUNDER)
(314) 896-3713
Entity
Organization
Contact information
Practice address
1614 PAGE INDUSTRIAL BLVD, APT A, OVERLAND, MO 63123
(314) 896-3713
Mailing address
561 KINGSLAND AVE UNIT 300115, SAINT LOUIS, MO 63130-5005
(314) 896-3713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811505712
PRIVATE PAY
MO
Enumeration date
06/01/2022
Last updated
06/01/2022
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