MEDICARE: MERIT HOME HEALTH CARE, 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

General Provider Information

NPI Number	:	1912981069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERIT HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	409 S FLORISSANT RD
Second Line	:	SUITE 102
City	:	FERGUSON
State	:	MO
Zip	:	63135-2715
Country	:	US
Telephone Number	:	314-522-8088
Fax Number	:	314-522-8910

Provider Business Practice Location Address
First Line	:	409 S FLORISSANT RD
Second Line	:	SUITE 102
City	:	FERGUSON
State	:	MO
Zip	:	63135-2715
Country	:	US
Telephone Number	:	314-522-8088
Fax Number	:	314-522-8910

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. LYDIA G KILLORAN
Credential	:
Telephone Number	:	314-522-8088

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	08/22/2020

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Practice Location Address:

409 S FLORISSANT RD , SUITE 102
FERGUSON, MO
63135-2715

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Practice Fax: 314-522-8910

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Practice Location Address:

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1811997414 — DR. DONALD ALLEN BLUM MD
Practice Location Address:

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FERGUSON, MO
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Practice Location Address:

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1871588095 — MARGARET GARWOOD-JASPER O.D.
Practice Location Address:

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