Organization Active NPI

Enhanced Wellness LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1295592343
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ENHANCED WELLNESS LLC
Practice address
4200 Union Blvd Ste 107
Saint Louis, MO 63115-1140
Phone
(314) 925-8279
Fax
(314) 925-8297
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Damon Sullivan
Title
Owner
Phone
(314) 925-8279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4200 Union Blvd Ste 107
Saint Louis, MO 63115-1140

Mailing address

4200 Union Blvd Ste 107
Saint Louis, MO 63115-1140
Phone (314) 925-8279

National Provider Directory

National Provider Directory
Tax ID family
Enhanced Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7710 Carondelet Ave
Ste 507
Saint Louis, MO 63105
Phone (314) 373-0370

4200 Union Blvd
Ste 107
Saint Louis, MO 63115
Phone (314) 925-8279

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1295592343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 UNION BLVD STE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151140",
            "telephone_number": "314-925-8279",
            "fax_number": "314-925-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 UNION BLVD STE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151140",
            "telephone_number": "314-925-8279",
            "fax_number": "314-925-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-925-8279"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.