# HAVEN HOME HEALTH AGENCY FOR KIDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haven Home Health Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982112181
- **Authorized official:** MRS. JAIME K. PLUMMER RN, MSN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 882-9747

## Contact information

- **Practice address:** 475 FALCON DR, FLORISSANT, MO 63031-2107
- **Practice address phone:** (314) 802-4999
- **Practice address fax:** (314) 802-4958
- **Mailing address:** 475 FALCON DR, FLORISSANT, MO 63031-2107
- **Mailing address phone:** (314) 882-9747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/22/2018
- **Last updated:** 01/22/2018