Healthcare Provider Details

I. General information

NPI: 1336081710
Provider Name (Legal Business Name): EVERWELL CARE SOLUTIONS HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 WHITEGATE DR
O FALLON MO
63366-1254
US

IV. Provider business mailing address

576 WHITEGATE DR
O FALLON MO
63366-1254
US

V. Phone/Fax

Practice location:
  • Phone: 636-303-9800
  • Fax:
Mailing address:
  • Phone: 636-303-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ERICA A PARKER
Title or Position: OWNER
Credential:
Phone: 636-303-9800