Healthcare Provider Details

I. General information

NPI: 1134074388
Provider Name (Legal Business Name): ALORA SUPPORTS MISSOURI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHESTERFIELD BUSINESS PKWY STE 200
CHESTERFIELD MO
63005-1271
US

IV. Provider business mailing address

100 CHESTERFIELD BUSINESS PKWY STE 200
CHESTERFIELD MO
63005-1271
US

V. Phone/Fax

Practice location:
  • Phone: 314-252-0093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NICOLE KANAMAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PHD
Phone: 314-252-0093