# GIFTED HEARTS HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1689294522
- **Authorized official:** MRS. NICHOLE D JOHNSON (OWNER)
- **Authorized official phone:** (314) 473-9664

## Contact information

- **Practice address:** 9823 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1429
- **Practice address phone:** (314) 473-9664
- **Mailing address:** 9823 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1429
- **Mailing address phone:** (144) 739-6643

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 04/21/2020