Homers Haven Home Care Llc | St Louis, MO • PECOS Search

Homers Haven Home Care Llc

Home Health

Agencies

5636 Pamplin Pl, St Louis, MO 63136

PECOS Enrollment

Based on the most recent information from CMS, provider Homers Haven Home Care Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1558912964
Provider Type
Organization
Full Name
Homers Haven Home Care Llc

Subpart
No
Enumeration Date
9/26/2019
Last Updated
9/26/2019

Contact Information

Practice Location

5636 Pamplin Pl, St Louis, MO 63136

Unlisted Fax

Mailing Location

5636 Pamplin Pl, St Louis, MO 63136

Unlisted Fax

Authorized Official

Mitchell, Iesha (Executive Director)

Provider Taxonomies

Code	Description	License
Code 251E00000X Primary	Description Home Health Agencies	License Unlisted Issuer