Advance Wellness Group LLC
NPI 1093514200 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Saint Louis, MO
Advance Wellness Group LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Saint Louis, MO (NPI 1093514200).
Provider details
- NPI number
- 1093514200
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ebony Hagens, Owner(314) 665-9134
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Home Health Agency251E00000X
Agencies
- Foster Care Agency253J00000X
Agencies
Residential Treatment Facilities
Residential Treatment Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Frequently asked questions
- What is Advance Wellness Group LLC's NPI number?
- Advance Wellness Group LLC's National Provider Identifier (NPI) is 1093514200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advance Wellness Group LLC?
- Advance Wellness Group LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Advance Wellness Group LLC located?
- Advance Wellness Group LLC's practice location on file with NPPES is 7915 Olive Blvd, Saint Louis, MO 63130-2020.
- What is Advance Wellness Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Advance Wellness Group LLC is (314) 665-9134.
- Who is the authorized official for Advance Wellness Group LLC?
- The authorized official listed on Advance Wellness Group LLC's NPPES record is Ebony Hagens, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advance Wellness Group LLC's NPI active?
- Yes — Advance Wellness Group LLC's NPI (1093514200) is active in the NPPES registry as of the last update on 2025-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.