MEDICARE: UNITED IN-HOME CARE, 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	:	1942754569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED IN-HOME CARE, LLC

Provider Business Mailing Address
First Line	:	3217 LEMAY FERRY RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63125-4419
Country	:	US
Telephone Number	:	314-329-6099
Fax Number	:

Provider Business Practice Location Address
First Line	:	3217 LEMAY FERRY RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63125-4419
Country	:	US
Telephone Number	:	314-329-6099
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KHANH BUI
Credential	:
Telephone Number	:	314-329-6099

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	08/11/2016

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Directions to “UNITED IN-HOME CARE, LLC ” Practice Location

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