MEDICARE: FLORACARE HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1114416328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORACARE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	5316 S COMPTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-1903
Country	:	US
Telephone Number	:	314-786-8835
Fax Number	:

Provider Business Practice Location Address
First Line	:	5316 S COMPTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-1903
Country	:	US
Telephone Number	:	314-786-8835
Fax Number	:

Authorized Official
Title or Position	:	DESIGNATED MANAGER
Name	:	MR. SHELBY BROWN
Credential	:
Telephone Number	:	314-786-8835

Provider Enumeration Date	:	05/02/2018
Last Update Date	:	05/02/2018

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Directions to “FLORACARE HOME HEALTH LLC ” Practice Location

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