AGING WELL HEALTH CARE, LLC – Home Health Agency, NPI 1215936588

AGING WELL HEALTH CARE, LLC is a healthcare provider. based in Saint louis, Missouri. specializing in Home Health Agency. The organization holds a License No. 609 (MO). The NPI Number for AGING WELL HEALTH CARE, LLC is 1215936588

Main info

Organization
Name
AGING WELL HEALTH CARE, LLC
NPI
1215936588
Phone
(314) 726-5600
Address
7212 BALSON AVE
Authorized Official
IRINA BURSAK ADMINISTRATOR
Enumeration Date
19 July 2005
Last Update Date
20 September 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:20State licenses:6Digital endpointsOther names

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Provider Addresses for AGING WELL HEALTH CARE, LLC

  • 7212, Balson Avenue, University City, Saint Louis County, Missouri, 63130, United States

    SAINT LOUIS, MO 631303001

    Phone: (314) 726-5600

    Fax: (314) 754-9317

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (952 days ago).

Enrollment records

2

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040113000542OHome Health AgencyMO2023-10-31
O20210903001172OOutpatient Physical Therapy/Occupational Therapy/Speech Pathology ServicesMOTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63130)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for AGING WELL HEALTH CARE, LLC?
AGING WELL HEALTH CARE, LLC — NPI 1215936588 — is the standard way to identify this listing.
Does CMS list AGING WELL HEALTH CARE, LLC as active?
Yes — AGING WELL HEALTH CARE, LLC is active in the NPI listing used on this page.
What is AGING WELL HEALTH CARE, LLC's primary classification?
Home Health Agency is the headline specialty for AGING WELL HEALTH CARE, LLC here. Clinical services aligned with this taxonomy classification.
Where should I expect AGING WELL HEALTH CARE, LLC on a map?
Expect Saint Louis, Missouri as a primary anchor for AGING WELL HEALTH CARE, LLC unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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