OrganizationActive
Acute Home Care, LLC
NPI 1083390017 · Home Health Agency · Hazelwood, MO
Provider details
- NPI number
- 1083390017
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelvonda Williams, Executive Owner(314) 203-4792
Specialties & taxonomies
Agencies
Practice location
320 Brookes Dr Ste 213
Hazelwood, MO 63042-2740
Phone: (314) 203-4792
Approximate (ZIP-level) locationGet directions
Mailing address
320 Brookes Dr Ste 213
Hazelwood, MO 63042-2740
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.