OrganizationActive Angels In Home Health Care LlcHome HealthAgenciesPractice Address9191 W Florissant Ave, Suite 215, Saint Louis, MO 63136-1424(314) 524-4200PECOS EnrollmentBased on the most recent information from CMS, provider Active Angels In Home Health Care Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1437274073Provider TypeOrganizationFull NameActive Angels In Home Health Care LlcSubpartNoEnumeration Date3/20/2007Last Updated8/2/2013Contact InformationPractice LocationPractice Address9191 W Florissant Ave, Suite 215, Saint Louis, MO 63136-1424Phone(314) 524-4200Fax(314) 524-4203Mailing LocationMailing Address9191 W Florissant Ave, Suite 215, Saint Louis, MO 63136-1424Phone(314) 524-4200Fax(314) 524-4203Authorized OfficialNamePeters, Sharon Loretta (Director(Owner))Phone(314) 524-4200Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseLCO762551MissouriProvider IdentifiersIDDescriptionIssuerID0008897DescriptionOtherIssuerSSBG GRMissouri