MEDICARE: ADORE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1588252894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADORE HOME CARE LLC

Provider Business Mailing Address
First Line	:	1818 WASHINGTON AVE APT 104
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63103-1752
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10284 PAGE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-1322
Country	:	US
Telephone Number	:	314-731-6777
Fax Number	:	314-731-6778

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ANIYAH HAYES
Credential	:
Telephone Number	:	314-731-6777

Provider Enumeration Date	:	01/04/2021
Last Update Date	:	07/23/2025

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