Healthcare Provider Details

I. General information

NPI: 1629914841
Provider Name (Legal Business Name): ALTRUISTIC CARE IN HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7314 NATURAL BRIDGE RD # 1FW
SAINT LOUIS MO
63121-5033
US

IV. Provider business mailing address

7314 NATURAL BRIDGE RD # 1FW
SAINT LOUIS MO
63121-5033
US

V. Phone/Fax

Practice location:
  • Phone: 314-853-1150
  • Fax:
Mailing address:
  • Phone: 314-853-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARRONDA WILLIFORD
Title or Position: EXECUTIVE OWNER
Credential:
Phone: 314-853-1150