MEDICARE: I CARE CNA 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	75163721897361	MO

General Provider Information

NPI Number	:	1043377757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I CARE CNA SERVICES INC.

Provider Business Mailing Address
First Line	:	8522 OLIVE BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-2818
Country	:	US
Telephone Number	:	314-867-8813
Fax Number	:	314-867-8817

Provider Business Practice Location Address
First Line	:	8522 OLIVE BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-2818
Country	:	US
Telephone Number	:	314-867-8813
Fax Number	:	314-867-8817

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SHIRLEY NADINE HEMPHILL
Credential	:
Telephone Number	:	314-867-8813

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	01/12/2021

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