MEDICARE: TRT HOME HEALTH 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1952159667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRT HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	5850 DELMAR BLVD STE A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-2346
Country	:	US
Telephone Number	:	314-642-8956
Fax Number	:

Provider Business Practice Location Address
First Line	:	5850 DELMAR BLVD STE A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-2346
Country	:	US
Telephone Number	:	314-642-8956
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. SHARON PATTERSON
Credential	:
Telephone Number	:	314-642-8956

Provider Enumeration Date	:	05/08/2024
Last Update Date	:	05/08/2024

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Directions to “TRT HOME HEALTH CARE LLC ” Practice Location

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