MEDICARE: CARING HANDS HOME SERVICES AND MORE, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1851052997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS HOME SERVICES AND MORE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2903
Second Line	:
City	:	JOPLIN
State	:	MO
Zip	:	64803-2903
Country	:	US
Telephone Number	:	417-825-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 S MAIDEN LN
Second Line	:
City	:	JOPLIN
State	:	MO
Zip	:	64801-3803
Country	:	US
Telephone Number	:	417-825-5600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	W CARLA BOUCHER
Credential	:
Telephone Number	:	417-825-5600

Provider Enumeration Date	:	12/30/2021
Last Update Date	:	12/30/2021

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