MEDICARE: TRIPLE A HOME CARE AGENCY, INC.

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	LC6550570	MO

General Provider Information

NPI Number	:	1477503506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIPLE A HOME CARE AGENCY, INC.

Provider Business Mailing Address
First Line	:	4335 LEXINGTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-2845
Country	:	US
Telephone Number	:	314-531-4900
Fax Number	:

Provider Business Practice Location Address
First Line	:	4335 LEXINGTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-2845
Country	:	US
Telephone Number	:	314-531-4900
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/OWNER
Name	:	MS. NORMA J. BROOKS
Credential	:	R.N.
Telephone Number	:	314-531-4900

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	08/22/2020

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