NIRVANA HEALTHCARE LLC
NPI 1982212270
Home Health in Florissant, MO

Active since July 22, 2020
4069 ASHBURY CROSSING DR, FLORISSANT, MO 63034(314) 874-7484(314) 552-7140 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2020, Jul 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Home Health

About NIRVANA HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Nirvana Healthcare Llc, a provider established in Florissant, Missouri operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1982212270 assigned on July 2020. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Taydrea Moore (Executive Director)

NPI
1982212270 Verify this NPI
Provider Name
NIRVANA HEALTHCARE LLC
Entity Type
Organization
Location Address
4069 ASHBURY CROSSING DR FLORISSANT, MO 63034
Location Phone
(314) 874-7484
Location Fax
(314) 552-7140
Mailing Address
4069 ASHBURY CROSSING DR FLORISSANT, MO 63034
Mailing Phone
(314) 874-7484
Mailing Fax
(314) 552-7140
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2020
Last Update Date
10-01-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TAYDREA MOORE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(314) 874-7484

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Home Health
4069 ASHBURY CROSSING DR
FLORISSANT, MO 63034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982212270, enumerated as an "organization" on July 22, 2020.

The provider is located at 4069 ASHBURY CROSSING DR FLORISSANT, MO 63034 and the phone number is (314) 874-7484.

Home Health with taxonomy code 251E00000X.