MEDICARE: TOP PRIORITY 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	:	1356841555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP PRIORITY HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	3028 CAPEHART DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-5319
Country	:	US
Telephone Number	:	314-608-6819
Fax Number	:	314-376-4532

Provider Business Practice Location Address
First Line	:	3028 CAPEHART DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-5319
Country	:	US
Telephone Number	:	314-608-6819
Fax Number	:	314-376-4532

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHANTE BUGGS
Credential	:
Telephone Number	:	314-608-6819

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	02/15/2018

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