OrganizationMissouri Home Health LlcHome HealthAgenciesPractice Address9191 W Florissant Ave, Suite 200, Saint Louis, MO 63136-1424(314) 524-3958PECOS EnrollmentBased on the most recent information from CMS, provider Missouri Home Health Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1114364684Provider TypeOrganizationFull NameMissouri Home Health LlcSubpartNoEnumeration Date5/23/2013Last Updated9/4/2015Contact InformationPractice LocationPractice Address9191 W Florissant Ave, Suite 200, Saint Louis, MO 63136-1424Phone(314) 524-3958FaxUnlisted FaxMailing LocationMailing Address9191 W Florissant Ave, Suite 200, Saint Louis, MO 63136-1424PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameForland, Dionneshae (Owner)Phone(314) 524-3958Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicense267655MissouriProvider IdentifiersIDDescriptionIssuerID267655DescriptionOtherIssuerMEDICARE PROVIDER NUMBERMissouri