MEDICARE: MARIE'S PURPLE HANDS HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1851079875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIE'S PURPLE HANDS HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	1440 SWAN DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-3620
Country	:	US
Telephone Number	:	314-600-8927
Fax Number	:

Provider Business Practice Location Address
First Line	:	929 N SPRING AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-3629
Country	:	US
Telephone Number	:	314-732-1934
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JESSICA JANNEECE NEWTON
Credential	:
Telephone Number	:	314-600-8927

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	07/10/2023

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