MEDICARE: AURA HOME HEALTH CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MO

General Provider Information

NPI Number	:	1659683712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURA HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1206
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63022-1206
Country	:	US
Telephone Number	:	314-322-0017
Fax Number	:

Provider Business Practice Location Address
First Line	:	11905 VILLA DORADO DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4703
Country	:	US
Telephone Number	:	314-322-0017
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	RAJ SAJID
Credential	:	M.D.
Telephone Number	:	773-699-7867

Provider Enumeration Date	:	07/06/2010
Last Update Date	:	07/21/2022

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