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ADVANCE WELLNESS GROUP LLC
NPI 1093514200
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Saint Louis, MO

Active since March 10, 2025
7915 OLIVE BLVD, SAINT LOUIS, MO 63130(314) 665-9134(314) 453-3897 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Mar 11, 2025 (2 updates tracked since 2025).

About Advance Wellness Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCE WELLNESS GROUP LLC (NPI 1093514200) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Saint Louis, Missouri and active in the NPI registry since March 2025. The organization lists Ebony S Hagens, Owner, as its authorized official.

NPPES Registry Identity

NPI1093514200
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameADVANCE WELLNESS GROUP LLC
Location Address7915 OLIVE BLVDSaint Louis, MO 63130-2020
Mailing Address7915 Olive BlvdSaint Louis, MO 63130-2020 · (314) 665-9134 · Fax (314) 453-3897
Phone(314) 665-9134
Fax(314) 453-3897
Organization SubpartNo
Authorized OfficialEbony S HagensOwner · (314) 665-9134
Enumeration DateMarch 10, 2025
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1093514200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedFoster Care AgencyTaxonomy 253J00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X
Also ListedRespite CareTaxonomy 385H00000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
7915 OLIVE BLVD, Saint Louis, MO 63130
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCE ADULT DAY CENTER, LLC
Clinic/Center (Adult Day Care)
7915 OLIVE BLVD
SAINT LOUIS, MO 63130
St. Louis County (314) 665-9134
ADVANCE CARE PROFESSIONALS CDS, LLC
In Home Supportive Care
7915 OLIVE BLVD
SAINT LOUIS, MO 63130
St. Louis County (314) 745-1953
ADVANCE CARE PROFESSIONALS IHS, LLC
In Home Supportive Care
7915 OLIVE BLVD
SAINT LOUIS, MO 63130
St. Louis County (314) 745-1953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advance Wellness Group LLC's NPI number?

The NPI number for Advance Wellness Group LLC is 1093514200. It was assigned to this organization in the NPPES registry on March 10, 2025.

Where is Advance Wellness Group LLC located?

Advance Wellness Group LLC is located at 7915 Olive Blvd, Saint Louis, MO 63130. The listed phone number is (314) 665-9134.

What is Advance Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Advance Wellness Group LLC was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.