MEDICARE: SAINT LOUIS HOME HEALTH SOLUTIONS 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	:	1184979338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT LOUIS HOME HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	3834 FILLMORE ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-3114
Country	:	US
Telephone Number	:	314-775-9991
Fax Number	:

Provider Business Practice Location Address
First Line	:	5001 PERNOD AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-1327
Country	:	US
Telephone Number	:	314-775-9991
Fax Number	:

Authorized Official
Title or Position	:	MANAGING OWNER
Name	:	CHAD BEFFA
Credential	:
Telephone Number	:	314-775-9991

Provider Enumeration Date	:	07/13/2012
Last Update Date	:	07/13/2012

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