ANAVAN LLC (NPI# 1972041283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972041283 |
| Entity Type | Organization |
| Organization Name | ANAVAN LLC |
| Other Organization Name | COMFORT SHOE SPECIALISTS |
| Practice Address |
14390 Manchester Rd Saint Louis MO 63011 |
| Mailing Address |
814 Judson Manor Dr Saint Louis MO 63141-6020 |
| Practice Telephone | 3148223300 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | ARTHUR SIMONYAN (OWNER) |
| Authorized Official Telephone | 6366754477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Comfort Shoe Specialists | Doing Business As Name - Organization |
| Street Address |
14390 MANCHESTER RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| 1083918692 | Contemporary Vision Center, LLC | Optometrist | 971 Brittany Parkway Drive, Manchester, MO 63011 | 2010-12-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1407475858 | Medical Supplies Only LLC | Durable Medical Equipment & Medical Supplies | 13035 Olive Blvd Ste 212, Saint Louis, MO 63141-6179 | 2020-04-15 |
| 1902437460 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6211 Delmar Blvd, Saint Louis, MO 63130-4814 | 2020-02-03 |
| 1306494927 | The Whiteville Drugstore, LLC | Durable Medical Equipment & Medical Supplies | 13035 Olive Blvd Ste 210, Saint Louis, MO 63141-6179 | 2019-08-27 |
| 1669939773 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 115 Branch St, Saint Louis, MO 63147-3503 | 2019-02-25 |
| 1992276604 | Skin Relief Supply | Durable Medical Equipment & Medical Supplies | 10990 New Halls Ferry Rd Ste J110, Saint Louis, MO 63136-4471 | 2018-12-07 |
| 1497272165 | Mercy Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 607 S New Ballas Rd Ste 1415, Saint Louis, MO 63141-8231 | 2017-08-24 |
| 1972048247 | Solutia Medical LLC | Durable Medical Equipment & Medical Supplies | 335 Leffingwell Ave, Suite126, Saint Louis, MO 63122-6417 | 2016-12-22 |
| 1780137356 | Raymond A. Brickhouse, Dpm LLC | Durable Medical Equipment & Medical Supplies | 3535 S Jefferson Ave Ste 2, Saint Louis, MO 63118-3930 | 2016-07-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63011 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.