MEDICARE: ELEVATING WELLNESS HOMECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	385H00000X	Respite Care
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1144179524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATING WELLNESS HOMECARE

Provider Business Mailing Address
First Line	:	25 BLACK JACK CT
Second Line	:
City	:	BLACK JACK
State	:	MO
Zip	:	63033-7101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 BLACK JACK CT
Second Line	:
City	:	BLACK JACK
State	:	MO
Zip	:	63033-7101
Country	:	US
Telephone Number	:	314-332-0790
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAURE SMITH
Credential	:
Telephone Number	:	314-332-0790

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

Similar Medicare Providers

1114876596 — ELEVATING WELLNESS HOMECARE CDS
Practice Location Address:

25 BLACK JACK CT
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63033-7101

Practice Phone: 314-332-0790
Practice Fax:

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1972042893 — A BETTER HEALTH & COMMUNITY, LLC
Practice Location Address:

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Practice Fax:

1750376612 — DELMAR GARDENS NORTH OPERATING, LLC
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1174504682 — MARY COLETTE SCHMIDT M.D.
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Directions to “ELEVATING WELLNESS HOMECARE ” Practice Location

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