EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC
NPI 1265910442
Clinic/Center - Health Service in Black Jack, MO

Active since July 31, 2018CLIA 26D2238811 · Waiver
4919 JAMESTOWNE RIDGE CT, BLACK JACK, MO 63033(314) 269-7868(310) 929-2597 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2020, Aug 12, 2019, Aug 9, 2019 and 1 more (4 updates tracked since 2018).

About Epic Healthcare And Wellness Solutions Llc NPPES

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

EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC (NPI 1265910442) is a healthcare organization registered as a health service in Black Jack, Missouri and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Michelle Grimes, Owner, as its authorized official.

NPPES Registry Identity

NPI1265910442
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC
Location Address4919 JAMESTOWNE RIDGE CTBlack Jack, MO 63033-4554
Mailing Address1551 Wall StSaint Charles, MO 63303-3539 · (636) 789-1499 · Fax (310) 929-2597
Fax(310) 929-2597
Organization SubpartNo
Authorized OfficialMichelle GrimesOwner · (636) 789-1499
Enumeration DateJuly 31, 2018
Last NPPES UpdateFebruary 7, 20204 updates tracked since enumeration
NPI 1265910442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedNursing CareTaxonomy 251J00000X · License 2017003919 (MS)
4919 JAMESTOWNE RIDGE CT, Black Jack, MO 63033

Other Names 1

Doing Business AsEpic Healthcare And Wellness Solutions Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2238811

Epic Healthcare And Wellness Solutions LLC · Saint Paul, MO
Active · expires Oct 5, 2027
CLIA Number26D2238811
Laboratory TypePractitioner Other
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorMichelle Grimes
Laboratory Phone(636) 789-1499
Laboratory LocationEpic Healthcare And Wellness Solutions LLC210 Castle Park Ct, Saint Paul, MO 63366
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Epic Healthcare And Wellness Solutions LLC's NPI number?

The NPI number for Epic Healthcare And Wellness Solutions LLC is 1265910442. It was assigned to this organization in the NPPES registry on July 31, 2018.

Where is Epic Healthcare And Wellness Solutions LLC located?

Epic Healthcare And Wellness Solutions LLC is located at 4919 Jamestowne Ridge Ct, Black Jack, MO 63033. The listed phone number is (314) 269-7868.

What is Epic Healthcare And Wellness Solutions LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Epic Healthcare And Wellness Solutions LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2238811) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Epic Healthcare And Wellness Solutions LLC was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.