MEDICARE: HARDIN 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	:	1982029518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARDIN HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	3636 S GEYER RD
Second Line	:	SUITE 100
City	:	SAINT LOUIS
State	:	MO
Zip	:	63127-1237
Country	:	US
Telephone Number	:	314-499-8825
Fax Number	:	314-667-5305

Provider Business Practice Location Address
First Line	:	3636 S GEYER RD
Second Line	:	SUITE 100
City	:	SAINT LOUIS
State	:	MO
Zip	:	63127-1237
Country	:	US
Telephone Number	:	314-499-8825
Fax Number	:	314-667-5305

Authorized Official
Title or Position	:	MEMBER
Name	:	ALYSION HARDIN
Credential	:
Telephone Number	:	314-546-5309

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	02/18/2014

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