MEDICARE: LINDA ORR

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	LC014499893	MO

General Provider Information

NPI Number	:	1164200978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ORR

Provider Business Mailing Address
First Line	:	4037 MCDONALD AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-3818
Country	:	US
Telephone Number	:	636-219-7613
Fax Number	:

Provider Business Practice Location Address
First Line	:	4037 MCDONALD AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-3818
Country	:	US
Telephone Number	:	636-219-7613
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2023
Last Update Date	:	10/13/2023

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Directions to “ LINDA ORR ” Practice Location

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