MEDICARE: HANDS ON AMAZING CARE 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1093418527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS ON AMAZING CARE INC

Provider Business Mailing Address
First Line	:	1322 LEROY AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63133-1504
Country	:	US
Telephone Number	:	314-203-8250
Fax Number	:	314-827-0049

Provider Business Practice Location Address
First Line	:	1322 LEROY AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63133-1504
Country	:	US
Telephone Number	:	314-203-8250
Fax Number	:	314-827-0049

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JASMINE DAVENPORT
Credential	:
Telephone Number	:	314-203-8250

Provider Enumeration Date	:	03/23/2023
Last Update Date	:	03/23/2023

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Directions to “HANDS ON AMAZING CARE INC ” Practice Location

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