Healthcare Provider Details

I. General information

NPI: 1134062094
Provider Name (Legal Business Name): DIRECT HEALTH IN-HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 CRAIGSHIRE DR STE 407
SAINT LOUIS MO
63146-4012
US

IV. Provider business mailing address

1132 HOYT DR
SAINT LOUIS MO
63137-2218
US

V. Phone/Fax

Practice location:
  • Phone: 314-583-0286
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: DEJA WRIGHT
Title or Position: MANAGER
Credential:
Phone: 314-583-0286