MEDICARE: BELOVED FAMILY HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1780470997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELOVED FAMILY HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	5621 DELMAR BLVD STE 107A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-2660
Country	:	US
Telephone Number	:	314-341-0071
Fax Number	:

Provider Business Practice Location Address
First Line	:	5621 DELMAR BLVD STE 107A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-2660
Country	:	US
Telephone Number	:	314-341-0071
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ERIN HAMILTON-ROBINSON
Credential	:
Telephone Number	:	314-341-0071

Provider Enumeration Date	:	04/15/2025
Last Update Date	:	04/15/2025

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