MEDICARE: HOWARD HOME HEALTH H3 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1346650728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD HOME HEALTH H3 LLC

Provider Business Mailing Address
First Line	:	7410 PENNSYLVANIA AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-3103
Country	:	US
Telephone Number	:	314-457-0765
Fax Number	:

Provider Business Practice Location Address
First Line	:	7410 PENNSYLVANIA AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-3103
Country	:	US
Telephone Number	:	314-457-0765
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SANDRA G HOWARD
Credential	:
Telephone Number	:	314-457-0765

Provider Enumeration Date	:	05/06/2014
Last Update Date	:	05/06/2014

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