# IN MARYS HANDS HOME HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538976899
- **Authorized official:** JASSMA DAVIS REGISTERED NURSE (OWNER)
- **Authorized official phone:** (314) 643-3413

## Contact information

- **Practice address:** 11452 LAS LADERA DR, FLORISSANT, MO 63033-8142
- **Practice address phone:** (314) 643-3413
- **Mailing address:** 11452 LAS LADERA DR, FLORISSANT, MO 63033-8142
- **Mailing address phone:** (314) 643-3413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 174200000X | Meals Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 282J00000X | Religious Nonmedical Health Care Institution | — | NULL | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/11/2024
- **Last updated:** 09/26/2026