MEDICARE: LOVING AND CARING HOME HEALTH CARE 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	:	1366034654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING AND CARING HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	3317 FRANKLIN AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63106-1635
Country	:	US
Telephone Number	:	314-327-5838
Fax Number	:

Provider Business Practice Location Address
First Line	:	5415 PAGE BLVD STE 302C
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-3416
Country	:	US
Telephone Number	:	314-896-2248
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	JASMINE MCDANIEL
Credential	:
Telephone Number	:	314-327-5838

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	02/08/2021

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