MEDICARE: HOPE HOME HEALTH CARE L.L.C.

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	372500000X	Chore Provider	289986002	MO
2	3747P1801X	Personal Care Attendant	269986006	MO
3	251E00000X	Home Health Agency	0004391	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679793384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HOME HEALTH CARE L.L.C.

Provider Business Mailing Address
First Line	:	1601 HORNSBY AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63147-1409
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 HORNSBY AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63147-1409
Country	:	US
Telephone Number	:	314-388-4010
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PAMELA MIDDLEBROOK
Credential	:
Telephone Number	:	314-388-4010

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	08/12/2008

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