# ROBERTA'S HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1528688751
- **Authorized official:** ANGELA MILLER (OWNER)
- **Authorized official phone:** (636) 336-8544

## Contact information

- **Practice address:** 300 FORT ZUMWALT SQ STE 108, O FALLON, MO 63366-3078
- **Practice address phone:** (636) 336-8544
- **Mailing address:** 300 FORT ZUMWALT SQ STE 120, O FALLON, MO 63366-3078
- **Mailing address phone:** (636) 336-8544
- **Mailing address fax:** (636) 735-8998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2020
- **Last updated:** 07/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 23172317 | — | MO |
