MEDICARE: CARING 4 U 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1447993092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING 4 U HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	929 N SPRING AVE STE C4A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-3629
Country	:	US
Telephone Number	:	314-300-4654
Fax Number	:	314-450-7012

Provider Business Practice Location Address
First Line	:	929 N SPRING AVE STE C4A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-3629
Country	:	US
Telephone Number	:	314-300-4654
Fax Number	:	314-450-7012

Authorized Official
Title or Position	:	DIRECTOR
Name	:	REGINALD COOPER
Credential	:
Telephone Number	:	314-437-6033

Provider Enumeration Date	:	04/20/2022
Last Update Date	:	04/20/2022

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