Healthcare Provider Details

I. General information

NPI: 1922954213
Provider Name (Legal Business Name): AMAVERA CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10560 OLD OLIVE STREET RD STE 230
SAINT LOUIS MO
63141-5966
US

IV. Provider business mailing address

10560 OLD OLIVE STREET RD STE 230
SAINT LOUIS MO
63141-5966
US

V. Phone/Fax

Practice location:
  • Phone: 314-810-2521
  • Fax: 314-492-0049
Mailing address:
  • Phone: 314-810-2521
  • Fax: 314-492-0049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MANUEL RIVERA
Title or Position: CEO/FOUNDER
Credential:
Phone: 314-810-2521