Healthcare Provider Details

I. General information

NPI: 1336078781
Provider Name (Legal Business Name): DIRECTLIFE HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 N SPRING AVE STE 5
SAINT LOUIS MO
63107-2220
US

IV. Provider business mailing address

3620 N SPRING AVE STE 5
SAINT LOUIS MO
63107-2220
US

V. Phone/Fax

Practice location:
  • Phone: 314-788-4098
  • Fax: 314-788-3335
Mailing address:
  • Phone: 314-788-4098
  • Fax: 314-788-3335

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ERICA S EDWARDS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 314-788-4098