MEDICARE: HANDS OF SUPPORT

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	251G00000X	Community Based Hospice Care Agency	00647781	MO

General Provider Information

NPI Number	:	1912118654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS OF SUPPORT

Provider Business Mailing Address
First Line	:	2513 NW RICHARD DR
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-3476
Country	:	US
Telephone Number	:	816-277-5248
Fax Number	:	816-224-3867

Provider Business Practice Location Address
First Line	:	2513 NW RICHARD DR
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-3476
Country	:	US
Telephone Number	:	816-277-5248
Fax Number	:	816-224-3867

Authorized Official
Title or Position	:	OWNER
Name	:	STACEY MINGTOY WILLIAMS
Credential	:
Telephone Number	:	816-277-5248

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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Directions to “HANDS OF SUPPORT ” Practice Location

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