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NPI Code Detail

MEDICARE: MED-STAFF HOME HEALTH, LLC

MEDICARE: MED-STAFF HOME HEALTH, 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
1251E00000XHome Health Agency267582MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386630036
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED-STAFF HOME HEALTH, LLC
Provider Business Mailing Address
First Line : 301 SOVEREIGN CT STE 209
Second Line :
City : BALLWIN
State : MO
Zip : 63011-4435
Country : US
Telephone Number : 314-993-4663
Fax Number : 314-993-5848
Provider Business Practice Location Address
First Line : 301 SOVEREIGN CT STE 209
Second Line :
City : BALLWIN
State : MO
Zip : 63011-4435
Country : US
Telephone Number : 314-993-4663
Fax Number : 314-993-5848
Authorized Official
Title or Position : ASSISTANT ADMINISTRATOR
Name : MS. TRACY L BRITTON
Credential :
Telephone Number : 901-237-3920
Provider Enumeration Date : 09/27/2005
Last Update Date : 12/10/2021

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Directions to “MED-STAFF HOME HEALTH, LLC ” Practice Location

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