MEDICARE: JOURNEY TO LIFE HOME HEALTHCARE

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	:	1750027983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY TO LIFE HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	6016 MINNESOTA AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-2547
Country	:	US
Telephone Number	:	314-882-3050
Fax Number	:

Provider Business Practice Location Address
First Line	:	6016 MINNESOTA AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-2547
Country	:	US
Telephone Number	:	314-882-3050
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KESIA HILL
Credential	:
Telephone Number	:	314-882-3050

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	05/10/2022

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Directions to “JOURNEY TO LIFE HOME HEALTHCARE ” Practice Location

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