MEDICARE: CONNECTED HEARTS HOME HEALTHCARE 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	:	1518649474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTED HEARTS HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	10242 CEDARHURST DR # 460291
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-5616
Country	:	US
Telephone Number	:	314-305-4714
Fax Number	:

Provider Business Practice Location Address
First Line	:	10242 CEDARHURST DR # 460291
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-5616
Country	:	US
Telephone Number	:	314-305-4714
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MATTHEW DELOCH
Credential	:
Telephone Number	:	314-305-4714

Provider Enumeration Date	:	08/01/2023
Last Update Date	:	08/01/2023

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