MEDICARE: HAPPINESS & AMOR IN HOME 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	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1407513161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPINESS & AMOR IN HOME CARE LLC

Provider Business Mailing Address
First Line	:	1327 CLAUDINE DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63138-2327
Country	:	US
Telephone Number	:	314-292-9521
Fax Number	:	314-931-5952

Provider Business Practice Location Address
First Line	:	1327 CLAUDINE DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63138-2327
Country	:	US
Telephone Number	:	314-292-9521
Fax Number	:	314-931-5952

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	LEKEISHA DIXON
Credential	:
Telephone Number	:	314-556-1270

Provider Enumeration Date	:	11/17/2021
Last Update Date	:	11/17/2021

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