MEDICARE: A1 NURSES 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730544719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 NURSES CARE LLC

Provider Business Mailing Address
First Line	:	4144 LINDELL BLVD STE 317
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2953
Country	:	US
Telephone Number	:	314-265-5819
Fax Number	:

Provider Business Practice Location Address
First Line	:	4144 LINDELL BLVD STE 317
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2953
Country	:	US
Telephone Number	:	314-265-5819
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RHAULIZA JOANEZ
Credential	:
Telephone Number	:	314-265-5819

Provider Enumeration Date	:	12/18/2015
Last Update Date	:	02/26/2016

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