DIVINE LONGEVITY AND WELLNESS – NPI #1952232480
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

DIVINE LONGEVITY AND WELLNESS is an AHC clinic located in CHESTERFIELD, MO. NPPES recently assigned the NPI number 1952232480 to DIVINE LONGEVITY AND WELLNESS on May 26, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIVINE LONGEVITY AND WELLNESS below.

NPI Profile for
DIVINE LONGEVITY AND WELLNESS

NPI Number
1952232480
Enumeration Date

(about 2 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIVINE LONGEVITY AND WELLNESS
Primary location
106 FOUR SEASONS SHOPPING CTR STE 110
CHESTERFIELD, MO 63017-3173
Phone: (314) 514-5364 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KHASHAYAR ARSHADI
OWNER
Phone: (314) 514-5364
Updated
Certification Date
May 25, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.