MAKE OVER FOR LIFE OUTREACH (NPI# 1336304450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336304450 |
| Entity Type | Organization |
| Organization Name | MAKE OVER FOR LIFE OUTREACH |
| Practice Address |
5218 Highland Ave Saint Louis MO 63113-1106 |
| Practice Telephone | 3142269309 |
| Mailing Telephone | 3142269309 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | MS. SHARI LANEEN ESTES (CO OWNER) |
| Authorized Official Telephone | 3142269309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | ========= | MO | Residential Treatment Facilities |
| Street Address |
5218 HIGHLAND AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63113-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
| 1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
| 1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
| 1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
| 1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
| 1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
| 1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
| 1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
| 1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
| 1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
| Find all providers in zip 63113 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639723463 | Haven Recovery Homes | Substance Abuse Rehabilitation Facility | 3929 Michigan Ave, Saint Louis, MO 63118-4324 | 2019-07-30 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1932517653 | Summit Bhc Lafayette LLC | Substance Abuse Rehabilitation Facility | 551 Warren Ave, Saint Louis, MO 63130-4155 | 2014-07-25 |
| 1831436278 | Harris House Foundation | Substance Abuse Rehabilitation Facility | 8315 S Broadway, Saint Louis, MO 63111-3804 | 2013-01-04 |
| 1265557987 | New Beginnings C Star, Inc | Substance Abuse Rehabilitation Facility | 3901 Union Blvd, Suite 101, Saint Louis, MO 63115-1130 | 2007-03-20 |
| 1730204967 | Westend Clinic | Substance Abuse Rehabilitation Facility | 5736 W Florissant Ave, Saint Louis, MO 63120-2457 | 2007-03-20 |
| 1598898447 | Queen of Peace Center | Substance Abuse Rehabilitation Facility | 325 N Newstead Ave, Saint Louis, MO 63108-2707 | 2007-03-13 |
| 1346372380 | Black Alcohol Drug Service Information Center | Substance Abuse Rehabilitation Facility | 2600 Washington Ave, Saint Louis, MO 63103-1420 | 2007-03-12 |
| 1336771047 | Community Behavior Health II | Substance Abuse Rehabilitation Facility | 11897 Benham Rd, Saint Louis, MO 63138-1326 | 2020-02-10 |
| 1003179201 | Menzies Institute of Recovery From Addiction, LLC | Substance Abuse Rehabilitation Facility | 6651 Chippewa St, Suite 224, Saint Louis, MO 63109-2538 | 2012-06-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63113 |
Please comment or provide details below to improve the information on MAKE OVER FOR LIFE OUTREACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.