MEDICARE: FROM THE HEART ADULT DAYCARE 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1437812815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FROM THE HEART ADULT DAYCARE LLC

Provider Business Mailing Address
First Line	:	2814 N KINGSHIGHWAY BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-1608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2814 N KINGSHIGHWAY BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-1608
Country	:	US
Telephone Number	:	314-367-2416
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SAMANTHA HAYES
Credential	:
Telephone Number	:	314-367-2416

Provider Enumeration Date	:	10/21/2021
Last Update Date	:	10/21/2021

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Directions to “FROM THE HEART ADULT DAYCARE LLC ” Practice Location

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