Healthcare Provider Details

I. General information

NPI: 1255488623
Provider Name (Legal Business Name): EPWORTH CHILDREN & FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N ELM AVE
SAINT LOUIS MO
63119-2418
US

IV. Provider business mailing address

110 N ELM AVE
SAINT LOUIS MO
63119-2418
US

V. Phone/Fax

Practice location:
  • Phone: 314-961-5718
  • Fax: 314-961-3503
Mailing address:
  • Phone: 314-961-5718
  • Fax: 314-961-3503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number000045043
License Number StateMO

VIII. Authorized Official

Name: MRS. APRIL ELSTON
Title or Position: CEO
Credential:
Phone: 314-918-3352