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Southside Wellness Center Inc
Personal Care Attendant in Saint Louis, Missouri
NPI 1649453796

Southside Wellness Center Inc is a Personal Care Attendant based in Saint Louis, MO and is specialized in Personal Care Attendant. Southside Wellness Center Inc practices in Saint Louis, MO. The NPI Number for Southside Wellness Center Inc is 1649453796 and holds a License No. (Missouri).

The current practice location address for Southside Wellness Center Inc is 3017 Park Ave, Saint Louis, MO and can be reached out via phone at 314-664-5024.

Location: 3017 Park Ave, Saint Louis, MO, 63104-1433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649453796
Provider Name
Southside Wellness Center Inc
Credential
Provider Entity Type
Organization
Address
3017 Park Ave, Saint Louis, MO, 63104-1433
Phone Number
314-664-5024
Fax Number
Provider Enumeration Date
12/12/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000466 01 MO PROVIDER NUMBER
291705606 05 MO
261705602 05 MO
281705608 05 MO
851705608 05 MO
institution
Provider Business Practice Location Address Details
Address
3017 Park Ave
City
Saint Louis
State
Missouri
Zip
63104-1433
Phone Number
314-664-5024
Fax Number
person
Provider Business Mailing Address Details
Address
3017 Park Ave
City
Saint Louis
State
Missouri
Zip
63104-1433
Phone Number
314-664-5024
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
261705602 (Missouri)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
281705608 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
851705608 (Missouri)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Chore Provider
Speciality
-
Taxonomy
372500000X
License No.
291705606 (Missouri)
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
person
Provider's Taxonomy Details 5
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
(Missouri)
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
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