Healthcare Provider Details

I. General information

NPI: 1184254641
Provider Name (Legal Business Name): SAMONE'S CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 CRAIGSHIRE RD
SAINT LOUIS MO
63146-4036
US

IV. Provider business mailing address

2055 CRAIGSHIRE RD
SAINT LOUIS MO
63146-4036
US

V. Phone/Fax

Practice location:
  • Phone: 314-449-5918
  • Fax:
Mailing address:
  • Phone: 314-449-5918
  • Fax: 314-735-4365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JASMINE S STEWARD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 314-449-5918