Active NPI
Ever Lasting Life Home Health Care LLC
- In Home Supportive Care Agency
- O Fallon, MO
National Provider Identifier
1336979517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Aide | 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 DirectoryNPI 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
- Ryan N Espenschied, MA, LPC
- Emma Rose Eubanks, MD
- Delaina Evans, FNP-BC
- Katherine Wren Evans, M.A., CCC-SLP
- Terese W Evans, LPC
- Everwell Care Solutions Home Health LLC
- Michael Evetts
- Alyssa Ann Fairchild, CPNP-PC
- Family Home Health Services of Missouri, LLC
- Family Life Counseling and Psychological Services, LLC
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.