MEDICARE: HOPE HEALTHCARE, 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	251F00000X	Home Infusion Agency
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency	2000149870	MO
4	385H00000X	Respite Care
5	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770829608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	100 CHESTERFIELD BUSINESS PKWY
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1271
Country	:	US
Telephone Number	:	314-435-8424
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CHESTERFIELD BUSINESS PKWY
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1271
Country	:	US
Telephone Number	:	314-435-8424
Fax Number	:

Authorized Official
Title or Position	:	MEMBER/MANGER/OWNER
Name	:	NIKKO FARMER
Credential	:	RN
Telephone Number	:	314-435-8424

Provider Enumeration Date	:	12/20/2012
Last Update Date	:	05/20/2024

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Directions to “HOPE HEALTHCARE, LLC ” Practice Location

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