MEDICARE: MIND OVER MATTERS SENIOR 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	374U00000X	Home Health Aide
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1821920828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND OVER MATTERS SENIOR CARE, LLC

Provider Business Mailing Address
First Line	:	908 SW SHORTHORN DR
Second Line	:
City	:	GRAIN VALLEY
State	:	MO
Zip	:	64029-9487
Country	:	US
Telephone Number	:	816-313-2420
Fax Number	:	816-313-2420

Provider Business Practice Location Address
First Line	:	908 SW SHORTHORN DR
Second Line	:
City	:	GRAIN VALLEY
State	:	MO
Zip	:	64029-9487
Country	:	US
Telephone Number	:	816-313-2420
Fax Number	:	816-313-2420

Authorized Official
Title or Position	:	CAREGIVER/OWNER
Name	:	MS. MICHELLE HAMPTON
Credential	:
Telephone Number	:	816-313-2420

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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