Healthcare Provider Details

I. General information

NPI: 1508722489
Provider Name (Legal Business Name): ESSENTIAL IN-HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 CRAIGSHIRE DR STE 230D
SAINT LOUIS MO
63146-4066
US

IV. Provider business mailing address

2055 CRAIGSHIRE DR STE 230D
SAINT LOUIS MO
63146-4066
US

V. Phone/Fax

Practice location:
  • Phone: 314-566-2245
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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 Code282J00000X
TaxonomyReligious Nonmedical Health Care Institution
License Number
License Number State

VIII. Authorized Official

Name: CANDICE WALKER
Title or Position: DIRECTOR
Credential:
Phone: 314-566-2245