Provider Demographics
NPI:1679996771
Name:ONE POWER IN HOME CDS
Entity type:Organization
Organization Name:ONE POWER IN HOME CDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:MINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-770-9961
Mailing Address - Street 1:11325 HI TOWER DR APT 3
Mailing Address - Street 2:
Mailing Address - City:SAINT ANN
Mailing Address - State:MO
Mailing Address - Zip Code:63074-1026
Mailing Address - Country:US
Mailing Address - Phone:314-770-9961
Mailing Address - Fax:314-942-3802
Practice Address - Street 1:11325 HI TOWER DR APT 3
Practice Address - Street 2:
Practice Address - City:SAINT ANN
Practice Address - State:MO
Practice Address - Zip Code:63074-1026
Practice Address - Country:US
Practice Address - Phone:314-770-9961
Practice Address - Fax:314-942-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1659615391251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health