MEDICARE: SAFE HANDS IN HOME CARE SERVICE, 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	:	1134651904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE HANDS IN HOME CARE SERVICE, LLC

Provider Business Mailing Address
First Line	:	5817 DRESSELL AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63120-1405
Country	:	US
Telephone Number	:	314-300-8555
Fax Number	:	314-300-8229

Provider Business Practice Location Address
First Line	:	5817 DRESSELL AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63120-1405
Country	:	US
Telephone Number	:	314-300-8555
Fax Number	:	314-300-8229

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. TIFFANY M PAGE
Credential	:
Telephone Number	:	314-300-8555

Provider Enumeration Date	:	03/31/2017
Last Update Date	:	03/31/2017

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