Provider Demographics
NPI:1144460247
Name:LEAN ON ME IN HOME HEALTHCARE
Entity type:Organization
Organization Name:LEAN ON ME IN HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:CARMELL
Authorized Official - Last Name:BROOKFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-766-5326
Mailing Address - Street 1:9418 HALLS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-5138
Mailing Address - Country:US
Mailing Address - Phone:314-766-5326
Mailing Address - Fax:314-667-3439
Practice Address - Street 1:9418 HALLS FERRY RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-5138
Practice Address - Country:US
Practice Address - Phone:314-766-5326
Practice Address - Fax:314-667-3439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health