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SOUTHSIDE WELLNESS CENTER INC
NPI 1649453796
Technician - Personal Care Attendant in Saint Louis, MO

Active since December 12, 2007
3017 PARK AVE, SAINT LOUIS, MO 63104(314) 664-5024 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southside Wellness Center Inc NPPES

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

SOUTHSIDE WELLNESS CENTER INC (NPI 1649453796) is a healthcare organization registered as a personal care attendant in Saint Louis, Missouri and active in the NPI registry since December 2007. The organization lists Mary Parram, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1649453796
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameSOUTHSIDE WELLNESS CENTER INC
Location Address3017 PARK AVESaint Louis, MO 63104-1433
Mailing Address3017 Park AveSaint Louis, MO 63104-1433 · (314) 664-5024
Phone(314) 664-5024
Organization SubpartNo
Authorized OfficialMary ParramAssistant Director · (314) 664-5024
Enumeration DateDecember 12, 2007
Last NPPES UpdateMay 16, 2008
✔ NPI 1649453796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in MO · 261705602
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X · License 291705606 (MO)
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License 851705608 (MO)
Also ListedChore ProviderTaxonomy 372500000X · License 281705608 (MO)
3017 PARK AVE, Saint Louis, MO 63104
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Other Identifiers 5

Medicaid281705608MO
Medicaid261705602MO
Other0000466MO · Provider Number
Medicaid851705608MO
Medicaid291705606MO

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 Southside Wellness Center Inc's NPI number?

The NPI number for Southside Wellness Center Inc is 1649453796. It was assigned to this organization in the NPPES registry on December 12, 2007.

Where is Southside Wellness Center Inc located?

Southside Wellness Center Inc is located at 3017 Park Ave, Saint Louis, MO 63104. The listed phone number is (314) 664-5024.

What is Southside Wellness Center Inc's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Southside Wellness Center Inc was last updated on May 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.