Age Well Health Solutions L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AGE WELL HEALTH SOLUTIONS L.L.C.

Practice address

134 Enchanted Pkwy Ste 104
Manchester, MO 63021-5495

Phone

(314) 227-8888

NPI assigned

Jan 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin N. Rudberg, DC

Title

Doctor

Phone

(314) 330-5707

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1023769312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 16TH ST",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401627",
            "telephone_number": "314-330-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ENCHANTED PKWY STE 104",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630215495",
            "telephone_number": "314-227-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE WELL HEALTH SOLUTIONS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "RUDBERG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "314-330-5707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Lighted Path Home Health LLC
• Ahmed Abo-Mahmood, DPM
• Courtney Acevedo
• Aging Ahead
• Fatemeh Akbari, LP
• Susan C Albrecht, LCSW
• Allan L Link DMD & Associates LLC
• Ayanna Allen

• Health Service Clinic/Center in Manchester, MO
• Providers in Manchester, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.