Healthcare Provider Details

I. General information

NPI: 1427863356
Provider Name (Legal Business Name): STEADFAST HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 HERITAGE LNDG STE 212B
SAINT PETERS MO
63303-8491
US

IV. Provider business mailing address

1600 HERITAGE LNDG STE 212B
SAINT PETERS MO
63303-8491
US

V. Phone/Fax

Practice location:
  • Phone: 314-891-5624
  • Fax:
Mailing address:
  • Phone: 314-891-5624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CAMILLE MCNEAL
Title or Position: MANAGER
Credential:
Phone: 314-891-5624