Organization
HOMEPOINTE HEALTHCARE OF MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J SWISS (PRESIDENT)
(260) 744-6145
Entity
Organization
Contact information
Practice address
1215 FERN RIDGE PKWY, STE 107, SAINT LOUIS, MO 63141-4401
(877) 744-6145
(260) 444-0006
Mailing address
8515 BLUFFTON RD, FORT WAYNE, IN 46809-3022
(260) 744-6145
(260) 444-0006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506259902
—
MO
Enumeration date
08/29/2012
Last updated
11/05/2013
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