# HEALTHLINE HOMECARE AGENCY LLC

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

## Provider details

- **NPI number:** 1780601450
- **Authorized official:** MRS. KARINA SHENDEROV (ADMINISTRATOR)
- **Authorized official phone:** (636) 386-8228

## Contact information

- **Practice address:** 930 KEHRS MILL RD, SUITE 325-10, BALLWIN, MO 63011-2462
- **Practice address phone:** (636) 386-8228
- **Practice address fax:** (636) 386-8245
- **Mailing address:** 930 KEHRS MILL RD, SUITE 325-10, BALLWIN, MO 63011-2462
- **Mailing address phone:** (636) 386-8228
- **Mailing address fax:** (636) 386-8245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 773 | MO | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/22/2020