Organization
ELEVATING WELLNESS HOMECARE CDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURE SMITH (OWNER)
(314) 332-0790
Entity
Organization
Contact information
Practice address
25 BLACK JACK CT, BLACK JACK, MO 63033-7101
(314) 332-0790
Mailing address
25 BLACK JACK CT, BLACK JACK, MO 63033-7101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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