HEALTHLINE HOMECARE AGENCY LLC
NPI 1780601450
Home Health in Ballwin, MO

Active since July 17, 2006
930 KEHRS MILL RD, SUITE 325-10, BALLWIN, MO 63011(636) 386-8228(636) 386-8245 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health

About HEALTHLINE HOMECARE AGENCY LLC

This page provides the complete NPI Profile along with additional information for Healthline Homecare Agency Llc, a provider established in Ballwin, Missouri operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1780601450 assigned on July 2006. The practitioner's primary taxonomy code is 251E00000X with license number 773 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Karina Shenderov (Administrator)

NPI
1780601450 Verify this NPI
Provider Name
HEALTHLINE HOMECARE AGENCY LLC
Entity Type
Organization
Location Address
930 KEHRS MILL RD SUITE 325-10 BALLWIN, MO 63011
Location Phone
(636) 386-8228
Location Fax
(636) 386-8245
Mailing Address
930 KEHRS MILL RD SUITE 325-10 BALLWIN, MO 63011
Mailing Phone
(636) 386-8228
Mailing Fax
(636) 386-8245
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
773
License State
MO
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KARINA SHENDEROV

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(636) 386-8228

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Home Health
930 KEHRS MILL RD, SUITE 320
BALLWIN, MO 63011
Counselor (Professional)
930 KEHRS MILL RD, SUITE 325-1
BALLWIN, MO 63011
Chiropractor
930 KEHRS MILL RD, SUITE 325-2
BALLWIN, MO 63011
Nurse Practitioner (Psychiatric/Mental Health)
930 KEHRS MILL RD
BALLWIN, MO 63011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780601450, enumerated as an "organization" on July 17, 2006.

The provider is located at 930 KEHRS MILL RD SUITE 325-10 BALLWIN, MO 63011 and the phone number is (636) 386-8228.

Home Health with taxonomy code 251E00000X.