Healthcare Provider Details

I. General information

NPI: 1952249328
Provider Name (Legal Business Name): AARON WHEELER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 MCCUBBINS DR
LINN CREEK MO
65052-1727
US

IV. Provider business mailing address

935 MCCUBBINS DR
LINN CREEK MO
65052-1727
US

V. Phone/Fax

Practice location:
  • Phone: 314-630-7607
  • Fax:
Mailing address:
  • Phone: 314-630-7607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateMO
# 4
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: