MEDICARE: 365 HELPING HANDS 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003575051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	365 HELPING HANDS LLC

Provider Business Mailing Address
First Line	:	11036 EBERT DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-4602
Country	:	US
Telephone Number	:	636-755-0694
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 CRAIGSHIRE RD STE 420F
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4043
Country	:	US
Telephone Number	:	636-755-0694
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS ADELINA GINES
Credential	:	CNA-CMT
Telephone Number	:	636-755-0694

Provider Enumeration Date	:	12/16/2021
Last Update Date	:	12/16/2021

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