MEDICARE: KENESHA JOHNSON

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	31554954	MO

General Provider Information

NPI Number	:	1003759762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENESHA JOHNSON

Provider Business Mailing Address
First Line	:	4020 SAINT FERDINAND AVE APT B
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63113-3242
Country	:	US
Telephone Number	:	314-585-8770
Fax Number	:

Provider Business Practice Location Address
First Line	:	4020 SAINT FERDINAND AVE APT B
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63113-3242
Country	:	US
Telephone Number	:	314-585-8770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

Similar Medicare Providers

1043832694 — SHANIQUA DENISE WOODS
Practice Location Address:

4020 SAINT FERDINAND AVE UNIT C
SAINT LOUIS, MO
63113-3242

Practice Phone: 314-285-9132
Practice Fax:

1841538295 — BINAYAK SIGDEL
Practice Location Address:

3242 SUSON CT, APARTMENT 2
ST LOUIS, NY
10451-5504

Practice Phone: 718-579-5030
Practice Fax:

1134189244 — FLEETMEDICALSUPPLINC
Practice Location Address:

3006 N LINDBERGH BLVD , 705
SAINT ANN, MO
63074-3242

Practice Phone: 314-739-8009
Practice Fax: 314-739-8014

1790002210 — SARAN TOWNSEND
Practice Location Address:

11638 197TH ST
SAINT ALBANS, NY
11412-3242

Practice Phone: 347-613-0754
Practice Fax:

1083054175 — ALL LOVING CARE CONSUMER DIRECTED SERVICES
Practice Location Address:

3006 N LINDBERGH BLVD STE 709
SAINT ANN, MO
63074-3242

Practice Phone: 314-739-4673
Practice Fax:

1548669229 — ALL LOVING CARE IN HOME SERVICES LLC
Practice Location Address:

3006 N LINDBERGH BLVD STE 709
SAINT ANN, MO
63074-3242

Practice Phone: 314-853-3079
Practice Fax:

Directions to “ KENESHA JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.