MEDICARE: ABOVE ALL ODDS HEALTHCARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922838192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE ALL ODDS HEALTHCARE

Provider Business Mailing Address
First Line	:	7301 S LINDBERGH BLVD STE 110
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63125-4523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 S LINDBERGH BLVD STE 110
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63125-4523
Country	:	US
Telephone Number	:	314-478-6496
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	RACHAEL SIMPSON
Credential	:	LPN
Telephone Number	:	314-478-6496

Provider Enumeration Date	:	08/03/2024
Last Update Date	:	08/03/2024

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