MEDICARE: AUXILIARY IN-HOME SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	177F00000X	Lodging Provider
3	251B00000X	Case Management Agency
4	251E00000X	Home Health Agency
5	251G00000X	Community Based Hospice Care Agency
6	253Z00000X	In Home Supportive Care Agency
7	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
8	343900000X	Non-emergency Medical Transport (VAN)
9	347C00000X	Private Vehicle
10	385H00000X	Respite Care
11	385HR2065X	Child Physical Disabilities Respite Care
12	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1245914514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUXILIARY IN-HOME SERVICES LLC

Provider Business Mailing Address
First Line	:	1150 BLUEBIRD DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-3311
Country	:	US
Telephone Number	:	314-651-6131
Fax Number	:

Provider Business Practice Location Address
First Line	:	929 N SPRING AVE STE F6
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-3629
Country	:	US
Telephone Number	:	314-651-6131
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF TRAINING
Name	:	TAKISHA HARDIEWAY
Credential	:
Telephone Number	:	314-651-6131

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	06/14/2023

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Directions to “AUXILIARY IN-HOME SERVICES LLC ” Practice Location

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