Organization
HEAVENLY HANDS HEALTHCARE LLC
Active
Other names
Heavenly Hands Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAKESHA SHARICE GATES (CEO &FOUNDER)
(314) 896-3713
Entity
Organization
Contact information
Practice address
1614 PAGE INDUSTRIAL BLVD, APT A, OVERLAND, MO 63123
(314) 896-3713
Mailing address
561 KINGSLAND AVE UNIT 300115, SAINT LOUIS, MO 63130-5005
(314) 896-3713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811505712
PRIVATE PAY
MO
Enumeration date
06/01/2022
Last updated
06/01/2022
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