MEDICARE: CARING HEARTS CDS, 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

General Provider Information

NPI Number	:	1639517709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEARTS CDS, INC

Provider Business Mailing Address
First Line	:	8944 NATURAL BRIDGE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-3917
Country	:	US
Telephone Number	:	314-426-9319
Fax Number	:	314-426-9321

Provider Business Practice Location Address
First Line	:	8944 NATURAL BRIDGE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-3917
Country	:	US
Telephone Number	:	314-426-9319
Fax Number	:	314-426-9321

Authorized Official
Title or Position	:	CFO
Name	:	MRS. REBECCA RAYE STUMPE
Credential	:
Telephone Number	:	314-426-9319

Provider Enumeration Date	:	06/11/2013
Last Update Date	:	06/11/2013

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