Healthcare Provider Details

I. General information

NPI: 1316890049
Provider Name (Legal Business Name): ABBAS CHOSEN WELLNESS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 MARKET ST STE 110 STE 1701
SAINT LOUIS MO
63101-1824
US

IV. Provider business mailing address

701 MARKET ST STE 110
SAINT LOUIS MO
63101-1824
US

V. Phone/Fax

Practice location:
  • Phone: 636-747-2683
  • Fax: 636-205-1721
Mailing address:
  • Phone: 636-747-2683
  • Fax: 636-205-1721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANEETRA A WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential: PROVIDER
Phone: 314-810-4454