MEDICARE: FOR YOU HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1225506181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOR YOU HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	1220 ELKHART DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63135-1417
Country	:	US
Telephone Number	:	314-406-0920
Fax Number	:	314-831-9520

Provider Business Practice Location Address
First Line	:	1220 ELKHART DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63135-1417
Country	:	US
Telephone Number	:	314-406-0920
Fax Number	:	314-831-9520

Authorized Official
Title or Position	:	OWNER
Name	:	DOROTHY HARRIS
Credential	:
Telephone Number	:	314-406-0920

Provider Enumeration Date	:	11/08/2018
Last Update Date	:	11/08/2018

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