MEDICARE: CAREGIVERS HOME HEALTH SERVICES, INC.

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		MO

General Provider Information

NPI Number	:	1952733297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREGIVERS HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	2135 SCHUETZ RD STE A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3537
Country	:	US
Telephone Number	:	314-997-1001
Fax Number	:	314-997-1003

Provider Business Practice Location Address
First Line	:	2135 SCHUETZ RD STE A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3537
Country	:	US
Telephone Number	:	314-997-1001
Fax Number	:	314-997-1003

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. BOBBI G STEVENSON
Credential	:
Telephone Number	:	314-997-1001

Provider Enumeration Date	:	08/08/2013
Last Update Date	:	08/08/2013

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