Organization
AUXILIARY IN-HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKISHA HARDIEWAY (DIRECTOR OF TRAINING)
(314) 651-6131
Entity
Organization
Contact information
Practice address
929 N SPRING AVE STE F6, SAINT LOUIS, MO 63108-3629
(314) 651-6131
Mailing address
1150 BLUEBIRD DR, FLORISSANT, MO 63031-3311
(314) 651-6131
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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