Individual provider · Type 1 NPI

Kimberly Renee' Carroll-Bevly, CNA

In Home Supportive Care Agency · St. Louis, MO

NPI number 1023624871 Active

Practice location

3120 Wyoming St
St. Louis, MO 63118-2130

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
In Home Supportive Care Agency Primary	253Z00000X	None listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1023624871

Kimberly Renee' Carroll-Bevly, CNA's National Provider Identifier is 1023624871, issued on Sep 17, 2020. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 17, 2020.