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NPI Code Detail

MEDICARE: ASSISTED DAILY LIVING IN-HOME HEALTH SERVICES LLC

MEDICARE: ASSISTED DAILY LIVING IN-HOME HEALTH SERVICES 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
1385H00000XRespite Care
2343900000XNon-emergency Medical Transport (VAN)
3291U00000XClinical Medical Laboratory
43245S0500XChildren's Substance Abuse Rehabilitation Facility
5332B00000XDurable Medical Equipment & Medical Supplies
6324500000XSubstance Abuse Rehabilitation Facility
7253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1053141267
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSISTED DAILY LIVING IN-HOME HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 1360 S 5TH ST STE 356
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2449
Country : US
Telephone Number : 844-273-2700
Fax Number :
Provider Business Practice Location Address
First Line : 1360 S 5TH ST
Second Line : SUITE 356
City : SAINT CHARLES
State : MO
Zip : 63301-2449
Country : US
Telephone Number : 844-273-2700
Fax Number : 636-724-4304
Authorized Official
Title or Position : OWNER
Name : SHIRLEY ANN MOORE
Credential :
Telephone Number : 844-273-2700
Provider Enumeration Date : 08/02/2024
Last Update Date : 01/02/2026

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Directions to “ASSISTED DAILY LIVING IN-HOME HEALTH SERVICES LLC ” Practice Location

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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.

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