Healthcare Provider Details

I. General information

NPI: 1366136061
Provider Name (Legal Business Name): ACG MISSOURI EAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 EMERSON RD STE 100
CREVE COEUR MO
63141-6755
US

IV. Provider business mailing address

187 N CHURCH ST STE 201
SPARTANBURG SC
29306-5154
US

V. Phone/Fax

Practice location:
  • Phone: 800-932-2738
  • Fax:
Mailing address:
  • Phone: 800-932-2738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAMELA DUNCAN OWENS
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 800-932-2738