MEDICARE: NEW AGE HOME HEALTH SERVICES, 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	18280081	MO

General Provider Information

NPI Number	:	1689875056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW AGE HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	7270 NATURAL BRIDGE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-5024
Country	:	US
Telephone Number	:	314-382-6459
Fax Number	:	314-385-5678

Provider Business Practice Location Address
First Line	:	7270 NATURAL BRIDGE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-5024
Country	:	US
Telephone Number	:	314-382-6459
Fax Number	:	314-385-5678

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JULIET W. THOMAS
Credential	:
Telephone Number	:	314-382-6459

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	08/22/2020

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