# ENNOVY HEALTH AT HOME LLC

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

## Provider details

- **NPI number:** 1427833862
- **Authorized official:** RAQUEL N JONES (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (636) 875-3772

## Contact information

- **Practice address:** 12645 OLIVE BLVD STE 232, CREVE COEUR, MO 63141-6692
- **Practice address phone:** (636) 875-3772
- **Mailing address:** 7041 BELLINGHAM CIR, O FALLON, IL 62269-6963
- **Mailing address phone:** (636) 875-3772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 08/25/2023