MEDICARE: SHIRLEY NADINE HEMPHILL

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	:	1497313050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEY NADINE HEMPHILL

Provider Business Mailing Address
First Line	:	8522 OLIVE BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-2818
Country	:	US
Telephone Number	:	314-867-8818
Fax Number	:	314-867-8817

Provider Business Practice Location Address
First Line	:	8522 OLIVE BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-2818
Country	:	US
Telephone Number	:	314-867-8818
Fax Number	:	314-867-8817

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

Provider Enumeration Date	:	05/30/2019
Last Update Date	:	05/30/2019

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Directions to “ SHIRLEY NADINE HEMPHILL ” Practice Location

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