Provider Demographics
NPI:1144898032
Name:FSH-IN HOME HEALTH CARE,LC
Entity type:Organization
Organization Name:FSH-IN HOME HEALTH CARE,LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:PULLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-290-5105
Mailing Address - Street 1:251 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MO
Mailing Address - Zip Code:63379-1306
Mailing Address - Country:US
Mailing Address - Phone:636-290-5105
Mailing Address - Fax:636-528-1855
Practice Address - Street 1:251 FRONT ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-1306
Practice Address - Country:US
Practice Address - Phone:636-290-1532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty