MEDICARE: A BETTER PLACE 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	251E00000X	Home Health Agency		MO

General Provider Information

NPI Number	:	1467949842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BETTER PLACE HOME CARE LLC

Provider Business Mailing Address
First Line	:	3203 DELOR ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-1731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3203 DELOR ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-1731
Country	:	US
Telephone Number	:	314-295-4784
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAKISHA DAVIS
Credential	:
Telephone Number	:	314-295-4784

Provider Enumeration Date	:	04/20/2018
Last Update Date	:	04/20/2018

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