Provider Demographics
NPI:1366048472
Name:PLEASANT JOURNEY HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:PLEASANT JOURNEY HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-733-5415
Mailing Address - Street 1:1001 DONNELL AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63137-1611
Mailing Address - Country:US
Mailing Address - Phone:314-283-3458
Mailing Address - Fax:314-230-9731
Practice Address - Street 1:1001 DONNELL AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63137-1611
Practice Address - Country:US
Practice Address - Phone:314-283-3458
Practice Address - Fax:314-230-9731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-05
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care