Active NPI
Ava Home Care LLC
- Home Health Aide
- Saint Louis, MO
National Provider Identifier
1730056458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- AVA HOME CARE LLC
- Practice address
- 4719 Penrose St # F1
Saint Louis, MO 63115-2117 - Phone
- (314) 724-9301
- NPI assigned
- Oct 17, 2025
- Last updated
- Oct 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shurtonya Erby, DIRECTOR
- Title
- Director
- Phone
- (314) 724-9301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
4719 Penrose St # F1
Saint Louis, MO 63115-2117
Mailing address
4719 Penrose St # F1
Saint Louis, MO 63115-2117
Phone (314) 724-9301
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1730056458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4719 PENROSE ST # F1",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631152117",
"telephone_number": "314-724-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4719 PENROSE ST # F1",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631152117",
"telephone_number": "314-724-9301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVA HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-17",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "ERBY",
"authorized_official_first_name": "SHURTONYA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "314-724-9301",
"authorized_official_credential": "DIRECTOR"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.