Healthcare Provider Details

I. General information

NPI: 1700704947
Provider Name (Legal Business Name): AVIARA HOME CARE MO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S MERAMEC AVE STE 202-1053
SAINT LOUIS MO
63105-1805
US

IV. Provider business mailing address

8 FREDERICK CT
PARK RIDGE NJ
07656-1944
US

V. Phone/Fax

Practice location:
  • Phone: 917-572-7660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELLEN KRAMER
Title or Position: CEO
Credential:
Phone: 917-572-7660