Organization Active NPI

Ever Lasting Life Home Health Care LLC

  • In Home Supportive Care Agency
  • O Fallon, MO
National Provider Identifier
1336979517
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVER LASTING LIFE HOME HEALTH CARE LLC
Practice address
535 Crail CT
O Fallon, MO 63368-4228
Phone
(314) 730-5151
NPI assigned
Aug 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Patrick
Title
Owner
Phone
(314) 406-6466

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
In Home Supportive Care Agency 253Z00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

535 Crail CT
O Fallon, MO 63368-4228

Mailing address

535 Crail CT
O Fallon, MO 63368-4228
Phone (314) 730-5151

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722643200000",
    "number": "1336979517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CRAIL CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684228",
            "telephone_number": "314-730-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CRAIL CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684228",
            "telephone_number": "314-730-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVER LASTING LIFE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-406-6466"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.