MEDICARE: ALEEMA-AART, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251B00000X	Case Management Agency
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	251J00000X	Nursing Care Agency
5	251K00000X	Public Health or Welfare Agency
6	261QH0100X	Health Service Clinic/Center
7	261QM0850X	Adult Mental Health Clinic/Center
8	332U00000X	Home Delivered Meals
9	343900000X	Non-emergency Medical Transport (VAN)
10	347C00000X	Private Vehicle
11	374U00000X	Home Health Aide
12	385H00000X	Respite Care
13	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
14	385HR2065X	Child Physical Disabilities Respite Care
15	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1295445468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEEMA-AART, LLC

Provider Business Mailing Address
First Line	:	22 MOSELLE CT
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-8622
Country	:	US
Telephone Number	:	314-718-9291
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 S BEMISTON AVE STE 800
Second Line	:
City	:	CLAYTON
State	:	MO
Zip	:	63105-1925
Country	:	US
Telephone Number	:	314-718-9291
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CFO
Name	:	MARIAH DIANE BOWLES
Credential	:	BSA
Telephone Number	:	314-718-9291

Provider Enumeration Date	:	11/29/2022
Last Update Date	:	01/17/2023

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