MEDICARE: CONTEMPORARY HONE 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	:	1457161606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTEMPORARY HONE CARE LLC

Provider Business Mailing Address
First Line	:	210 GREEN ACRES RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-1809
Country	:	US
Telephone Number	:	314-939-3239
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 GREEN ACRES RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-1809
Country	:	US
Telephone Number	:	314-939-3239
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KEITH WIGGLEY
Credential	:
Telephone Number	:	314-939-3239

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	01/09/2025

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