MEDICARE: CHARMING HEARTZ HOME CARE 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1104784040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARMING HEARTZ HOME CARE LLC

Provider Business Mailing Address
First Line	:	185 ELDORADO DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-5318
Country	:	US
Telephone Number	:	314-374-2658
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 ELDORADO DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-5318
Country	:	US
Telephone Number	:	314-374-2658
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLNISHA MCCOMBS
Credential	:
Telephone Number	:	314-374-2658

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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