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Advance Wellness Group LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, MO · enumerated 2025 · authorized official Ebony Hagens, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093514200

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Registry record

Entity type Organization (Type 2)
Legal business name Advance Wellness Group LLC
Practice address 7915 Olive Blvd, Saint Louis, MO, 63130
Phone (314) 665-9134
Fax (314) 453-3897
Enumeration date Mar 10, 2025
Last updated in NPPES May 8, 2025

Taxonomy & classification

251E00000X Home Health Agency Agencies Secondary
253J00000X Foster Care Agency Agencies Secondary
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary
320700000X Physical Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary
385H00000X Respite Care Respite Care Facility Secondary
385HR2060X Child Intellectual and/or Developmental Disabilities Respite Care Respite Care Facility Secondary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Ebony Hagens
Title Owner
Phone (314) 665-9134

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Advance Wellness Group LLC located?
The practice location on file with NPPES is in Saint Louis, MO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-08.