Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southside Wellness Center Inc

Organization Home Health Agency · NPI 1649453796

Southside Wellness Center Inc is a Home Health Agency in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3017 Park Ave
Saint Louis, MO 63104-1433
Phone: (314) 664-5024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence 261705602 (MO)
Home Health Agency Taxonomy 251E00000X (MO)
Adult Day Care Clinic/Center Taxonomy 261QA0600X · Licence 291705606 (MO)
Non-emergency Medical Transport (VAN) Taxonomy 343900000X · Licence 851705608 (MO)
Chore Provider Taxonomy 372500000X · Licence 281705608 (MO)

Record details

NPI number1649453796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Parram — Assistant Director · (314) 664-5024
NPI enumeratedDecember 12, 2007
Last updated in NPPESMay 16, 2008
Mailing address3017 Park Ave, Saint Louis, MO 63104-1433

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