Provider Demographics
NPI:1174114227
Name:ALLURE IN-HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:ALLURE IN-HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:SIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-824-6204
Mailing Address - Street 1:5933 S HIGHWAY 94
Mailing Address - Street 2:STE 209B
Mailing Address - City:WELDON SPRING
Mailing Address - State:MO
Mailing Address - Zip Code:63304-5608
Mailing Address - Country:US
Mailing Address - Phone:309-824-6204
Mailing Address - Fax:636-203-5461
Practice Address - Street 1:5933 S HIGHWAY 94
Practice Address - Street 2:STE 209B
Practice Address - City:WELDON SPRING
Practice Address - State:MO
Practice Address - Zip Code:63304-5608
Practice Address - Country:US
Practice Address - Phone:309-824-6204
Practice Address - Fax:636-203-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health