Organization Active NPI

Ava Home Care LLC

  • Home Health Aide
  • Saint Louis, MO
National Provider Identifier
1730056458
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.