MEDICARE: SAINT LOUIS HOMECARE AGENCY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	314000000X	Skilled Nursing Facility
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033943360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT LOUIS HOMECARE AGENCY, INC.

Provider Business Mailing Address
First Line	:	6389 HIGHWAY C
Second Line	:
City	:	PALMYRA
State	:	MO
Zip	:	63461-2044
Country	:	US
Telephone Number	:	217-242-7718
Fax Number	:

Provider Business Practice Location Address
First Line	:	12166 OLD BIG BEND RD STE 310
Second Line	:
City	:	KIRKWOOD
State	:	MO
Zip	:	63122-6836
Country	:	US
Telephone Number	:	314-835-1100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RYAN W MORRIS
Credential	:
Telephone Number	:	217-242-7718

Provider Enumeration Date	:	08/29/2024
Last Update Date	:	03/20/2026

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Directions to “SAINT LOUIS HOMECARE AGENCY, INC. ” Practice Location

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