MEDICARE: THE POINT OF CHANGE NURSING SERVICE, 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	LC6712410	MO

General Provider Information

NPI Number	:	1811194889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE POINT OF CHANGE NURSING SERVICE, INC

Provider Business Mailing Address
First Line	:	4335 LEXINGTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-2845
Country	:	US
Telephone Number	:	314-533-1200
Fax Number	:	314-533-1202

Provider Business Practice Location Address
First Line	:	4335 LEXINGTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-2845
Country	:	US
Telephone Number	:	314-533-1200
Fax Number	:	314-533-1202

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. NORMA JEAN BROOKS
Credential	:	REGISTERED NURSE
Telephone Number	:	314-533-1200

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	08/22/2020

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