MEDICARE: BEE LOVED BY KAY HOME HEALTHCARE 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	:	1124886775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEE LOVED BY KAY HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	843 N HIGHWAY 67 ST
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-2915
Country	:	US
Telephone Number	:	314-443-4585
Fax Number	:

Provider Business Practice Location Address
First Line	:	843 N HIGHWAY 67 ST
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-2915
Country	:	US
Telephone Number	:	314-443-4585
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDY BUNCHE
Credential	:
Telephone Number	:	314-443-4585

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	03/08/2024

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