Healthcare Provider Details

I. General information

NPI: 1427993914
Provider Name (Legal Business Name): ETERNAL LOVE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4856 SACRAMENTO AVE
SAINT LOUIS MO
63115-2027
US

IV. Provider business mailing address

10025 LAKEMOOR DR
SAINT LOUIS MO
63136-2023
US

V. Phone/Fax

Practice location:
  • Phone: 314-724-9301
  • Fax:
Mailing address:
  • Phone: 314-724-9301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MIYA HINTON
Title or Position: DIRECTOR
Credential: DIRECTOR
Phone: 314-724-9301