MEDICARE: A DOSE OF COMPASSION CONSUMER DIRECT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073387726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A DOSE OF COMPASSION CONSUMER DIRECT SERVICES LLC

Provider Business Mailing Address
First Line	:	917B NATASHA CIR
Second Line	:
City	:	O FALLON
State	:	IL
Zip	:	62269-7605
Country	:	US
Telephone Number	:	618-746-9344
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 WASHINGTON AVE STE 716A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63101-1272
Country	:	US
Telephone Number	:	618-746-9344
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. VERONICA D HELFER
Credential	:	LPN, CLT
Telephone Number	:	618-746-9344

Provider Enumeration Date	:	11/13/2023
Last Update Date	:	11/13/2023

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