Healthcare Provider Details

I. General information

NPI: 1518889948
Provider Name (Legal Business Name): ELI HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 CARDINAL WAY STE 900
SAINT LOUIS MO
63102-2807
US

IV. Provider business mailing address

1 WESTWOOD COUNTRY CLB
SAINT LOUIS MO
63131-2427
US

V. Phone/Fax

Practice location:
  • Phone: 917-771-7295
  • Fax:
Mailing address:
  • Phone: 917-771-7295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ALI AHMADI
Title or Position: CEO
Credential:
Phone: 917-771-7295