MEDICARE: SAMONE'S CARE LLC

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	332U00000X	Home Delivered Meals
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1184254641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMONE'S CARE LLC

Provider Business Mailing Address
First Line	:	2055 CRAIGSHIRE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4036
Country	:	US
Telephone Number	:	314-449-5918
Fax Number	:	314-735-4365

Provider Business Practice Location Address
First Line	:	2055 CRAIGSHIRE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4036
Country	:	US
Telephone Number	:	314-449-5918
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JASMINE S STEWARD
Credential	:
Telephone Number	:	314-449-5918

Provider Enumeration Date	:	01/23/2020
Last Update Date	:	12/09/2025

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