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24-hour home care in St. Louis, MO
St. Louis city, Missouri

24-hour home care in St. Louis, MO

24-hour home care means caregivers in the home around the clock, usually in shifts so someone is always awake. It costs more than live-in care, where one caregiver lives in and sleeps overnight.

857 agencies 237 based in St. Louis

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24-hour home care near St. Louis

These are home care agencies. Carevo has not yet confirmed which of them provide 24-hour home care, so ask each agency before you choose.

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Comprehensive Independent Goals INC St. Louis Consumer Directed Servic

Based in Saint Louis, MO

Registered with the federal NPI registry since 2012.

(314) 361-7337 NPI Registry record →

827 more agencies are within reach of St. Louis. and Carevo will share your request with providers that match.

How these listings are sourced

  • Medicare data. Home health agencies, hospices and nursing homes come from the CMS Provider Data Catalog (home health file of October 2026, nursing home file of September 2026). Star ratings are CMS ratings. Each card links to the provider's Care Compare record.
  • Other providers. Home care agencies, assisted living, adult day centers, disability and ABA providers come from the federal NPI registry, read October 2026. The care type is the one the provider chose when it registered. Nobody checks it, so ask what each provider actually does.
  • Location. "Based in" is the provider's own address. "Tells Medicare it serves" comes from the ZIP codes the agency reports to CMS. "Miles away" is the distance from the city center to the provider's ZIP code, so check that they cover your address.

How 24-hour home care is paid for

  • Medicare doesn't pay for 24-hour-a-day care at home.
  • Medicaid home and community-based services (HCBS) let people who qualify for Medicaid get care at home or in their community instead of an institution. Your state Medicaid agency decides who qualifies.
  • Many families pay privately, and some long-term care insurance policies pay toward care. Check what your policy covers before care starts.

For free local help with care options and benefits, contact your Area Agency on Aging through the Eldercare Locator.

St. Louis at a glance

  • 279,695 residents (Census Bureau 2024 estimate)
  • 237 agencies with an address in St. Louis
  • 4 based elsewhere that tell Medicare they serve St. Louis
  • 5 Medicare-certified
    • 0

Questions about 24-hour home care in St. Louis

How many 24-hour home care agencies serve St. Louis, MO?

Carevo lists 857 agencies for St. Louis: 237 based in the city, 4 that tell Medicare they serve ZIP codes here, and 616 based within 15 miles.

How is 24-hour home care paid for?

Medicare doesn't pay for 24-hour-a-day care at home. Medicaid home and community-based services (HCBS) let people who qualify for Medicaid get care at home or in their community instead of an institution. Your state Medicaid agency decides who qualifies. Many families pay privately, and some long-term care insurance policies pay toward care. Check what your policy covers before care starts.

Can providers pay to be listed higher on Carevo?

No. Carevo does not sell placement or ranking. Rated providers are ordered by their CMS rating, and the rest by where they are based.

Other care in St. Louis

Home care · Personal care · Companion care · Live-in care · Respite care · Dementia care at home · Home health care · Private duty nursing · In-home physical therapy · Hospice care · Assisted living · Memory care · Board and care homes · Nursing homes · Adult day care · Intellectual and developmental disability services · ABA therapy

Sources