MEDICARE: RITA D. KNIGHT-RITCHIE DBA FRIENDS IN-HOME SERVICES

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215003280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITA D. KNIGHT-RITCHIE DBA FRIENDS IN-HOME SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 197
Second Line	:
City	:	MALDEN
State	:	MO
Zip	:	63863-0197
Country	:	US
Telephone Number	:	573-276-5553
Fax Number	:	573-276-2422

Provider Business Practice Location Address
First Line	:	3020 N. DOUGLAS
Second Line	:
City	:	MALDEN
State	:	MO
Zip	:	63863-0197
Country	:	US
Telephone Number	:	573-276-5553
Fax Number	:	573-276-2422

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. RITA D. KNIGHT-RITCHIE
Credential	:
Telephone Number	:	573-276-5553

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	06/17/2008

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