OrganizationActive
Aging Well Health Care, LLC
NPI 1295087195 · Home Health Agency · Collinsville, IL
Provider details
- NPI number
- 1295087195
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Irina Bursak, Administrator(314) 726-5600
- License
- 1010588 (IL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
540 Regency Ctr
Collinsville, IL 62234-4658
Phone: (618) 344-8800
Fax: (618) 344-8020
Street-level locationGet directions
Mailing address
7212 Balson Ave
Saint Louis, MO 63130-3001
Other names (DBA / former)
- Doing business as
- Aw Health Care
Registry dates
- Enumerated
- 2012-10-03
- Last updated
- 2012-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.