Nirvana Healthcare Plus LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NIRVANA HEALTHCARE PLUS LLC

Practice address

6 Cardinal Way Ste 900
Saint Louis, MO 63102-2807

Phone

(314) 873-4659

Fax

(636) 246-0075

NPI assigned

Jan 9, 2025

Organization subpart

No

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

Authorized official

Name

Taydrea Moore

Title

Executive Director

Phone

(314) 874-7484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1902616261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CARDINAL WAY STE 900",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022807",
            "telephone_number": "314-873-4659",
            "fax_number": "636-246-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CARDINAL WAY STE 900",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022807",
            "telephone_number": "314-873-4659",
            "fax_number": "636-246-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA HEALTHCARE PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TAYDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-874-7484"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pascal Nilsson, MD
• Praveen Srisatya Nimmagadda, MD
• Shalaka Nimmagadda, MD
• Nina Corporation
• Richa Niraula, M.D.
• Omar Nisar, MD
• Ronald Glennon Nisbet Jr., D.C.
• Pallavi Mishra Nishith, PH.D, LP
• Richard James Nissen, DDS, MS
• Stephanie D Nissen, RN, ACNP-BC

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.