Provider Demographics
NPI:1588942866
Name:HOME ASSIST, LLC
Entity type:Organization
Organization Name:HOME ASSIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEABAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:636-695-5524
Mailing Address - Street 1:105 STAG INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-4240
Mailing Address - Country:US
Mailing Address - Phone:636-695-5801
Mailing Address - Fax:636-561-7930
Practice Address - Street 1:105 STAG INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-4240
Practice Address - Country:US
Practice Address - Phone:636-695-5801
Practice Address - Fax:636-561-7930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
MO863-HH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0012873Medicaid
MO267648Medicare Oscar/Certification