MEDICARE: JOY & COMFORT 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1518401793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY & COMFORT LLC

Provider Business Mailing Address
First Line	:	4300 ENRIGHT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2604
Country	:	US
Telephone Number	:	314-224-5480
Fax Number	:	314-454-3557

Provider Business Practice Location Address
First Line	:	4300 ENRIGHT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2604
Country	:	US
Telephone Number	:	314-224-5480
Fax Number	:	314-454-3557

Authorized Official
Title or Position	:	MANAGER/MEMBER
Name	:	MONIQUE SELLERS
Credential	:
Telephone Number	:	314-454-3559

Provider Enumeration Date	:	12/07/2016
Last Update Date	:	09/17/2024

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