MEDICARE: HOME SITTER 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	0644212061017	MO

General Provider Information

NPI Number	:	1699830281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME SITTER AGENCY, INC.

Provider Business Mailing Address
First Line	:	6301 ROCKHILL ROAD
Second Line	:	SUITE 423
City	:	KANSAS CITY
State	:	MISSOURI
Zip	:	64131
Country	:	UM
Telephone Number	:	816-363-2252
Fax Number	:	816-363-2269

Provider Business Practice Location Address
First Line	:	6301 ROCKHILL ROAD
Second Line	:	SUITE 423
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1117
Country	:	US
Telephone Number	:	816-363-2252
Fax Number	:	816-363-2269

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MRS. NADINE NMI DAVIS
Credential	:
Telephone Number	:	816-363-2252

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	08/22/2020

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