OrganizationActive
Aging Well Health Care, LLC
NPI 1215936588 · Home Health Agency · Saint Louis, MO
Provider details
- NPI number
- 1215936588
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Irina Bursak, Administrator(314) 726-5600
- License
- 609 (MO)
Specialties & taxonomies
Agencies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Agencies
Agencies
Respite Care Facility
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7212 Balson Ave
Saint Louis, MO 63130-3001
Phone: (314) 726-5600
Fax: (314) 754-9317
Street-level locationGet directions
Mailing address
7212 Balson Ave
Saint Louis, MO 63130-3001
Registry dates
- Enumerated
- 2005-07-19
- Last updated
- 2010-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.