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HOMESTEAD HEALTH CARE LLC
NPI 1053825596
In Home Supportive Care in Black Jack, MO

Active since November 20, 2017
12405 OLD HALLS FERRY RD STE 100, BLACK JACK, MO 63033(314) 757-9535 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Nov 20, 2017 (2 updates tracked since 2017).

About Homestead Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMESTEAD HEALTH CARE LLC (NPI 1053825596) is a healthcare organization registered as an in home supportive care in Black Jack, Missouri and active in the NPI registry since November 2017. The organization lists Monique Montgomery, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053825596
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameHOMESTEAD HEALTH CARE LLC
Location Address12405 OLD HALLS FERRY RD STE 100Black Jack, MO 63033-4261
Mailing Address12405 Old Halls Ferry Rd Ste 100Black Jack, MO 63033-4261
Phone(314) 757-9535
Organization SubpartNo
Authorized OfficialMonique MontgomeryExecutive Director · (314) 395-3006
Enumeration DateNovember 20, 2017
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1053825596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedHome HealthTaxonomy 251E00000X
12405 OLD HALLS FERRY RD STE 100, Black Jack, MO 63033
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOMESTEAD HEALTH CARE IHS LLC
In Home Supportive Care
12405 OLD HALLS FERRY RD STE 100
BLACK JACK, MO 63033
St. Louis County (314) 757-9535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Homestead Health Care LLC's NPI number?

The NPI number for Homestead Health Care LLC is 1053825596. It was assigned to this organization in the NPPES registry on November 20, 2017.

Where is Homestead Health Care LLC located?

Homestead Health Care LLC is located at 12405 Old Halls Ferry Rd Ste 100, Black Jack, MO 63033. The listed phone number is (314) 757-9535.

What is Homestead Health Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Homestead Health Care LLC was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.