SUMMIT BHC SAINT LOUIS, LLC (NPI# 1356875678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356875678 |
| Entity Type | Organization |
| Organization Name | SUMMIT BHC SAINT LOUIS, LLC |
| Other Organization Name | THE AVIARY RECOVERY CENTER |
| Practice Address |
22933 Hwy 61 Eolia MO 63344 |
| Practice Telephone | 8774633553 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | BROOKE ZIMMERMAN (CBO DIRECTOR) |
| Authorized Official Telephone | 2176495309 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT BEHAVIORAL HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Aviary Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336508845 | Summit Bhc Saint Louis, LLC | Substance Abuse Rehabilitation Facility | 1391 Smizer Mill Rd, Suite 101, Fenton, MO 63026-7306 | 2016-02-12 |
| Street Address |
22933 HWY 61 |
| City | EOLIA |
| State | MO |
| Zip Code | 63344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629524087 | Emilee Anne Redd | Occupational Therapist | 19538 Pike 266, Edia, MO 63344 | 2016-08-26 |
| 1740560630 | Heidi Marie Adams | Speech-Language Pathologist | 151 Vo Tech Rd, Apt. 2, Eolia, MO 63344-1096 | 2011-08-23 |
| 1235530718 | Lori Seulean | Counselor | 209 College Cir Apt 8, Eolia, MO 63344-1106 | 2014-09-15 |
| 1578544763 | Alan J Baudler | Nurse Anesthetist, Certified Registered | 361 Morgan Meadows Ln, Eolia, MO 63344-2236 | 2005-11-07 |
| 1215005772 | Susan Jane Lagemann | Physical Therapist | 19538 Pike 266, Eolia, MO 63344-4014 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497002570 | Mountain Comprehensive Health Corporation | Family Medicine | 1099 Highway 806, Eolia, KY 40826-6554 | 2012-08-08 |
| 1871715094 | Kentucky River District Health Departmen T | Public Health or Welfare | 1099 Hwy 806, Eolia, KY 40826-0087 | 2007-05-03 |
| 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] |
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|---|---|---|---|---|
| 1073112967 | Hurdler Outreach Services LLC | Substance Abuse Rehabilitation Facility | 6425 Evanston Ave, Raytown, MO 64133-4931 | 2020-10-21 |
| 1912529041 | Ip Reserve | Substance Abuse Rehabilitation Facility | 21708 Nickel Ave, Gallatin, MO 64640-6369 | 2020-05-12 |
| 1417577107 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 150 Sana Lake Recovery Way, Dittmer, MO 63023 | 2020-04-22 |
| 1639723463 | Haven Recovery Homes | Substance Abuse Rehabilitation Facility | 3929 Michigan Ave, Saint Louis, MO 63118-4324 | 2019-07-30 |
| 1821549122 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 2415 W Catalpa St, Springfield, MO 65807-1123 | 2016-10-21 |
| 1225496052 | Betty Lou Wallace Recovery LLC | Substance Abuse Rehabilitation Facility | 13350 Holmes Rd, Kansas City, MO 64145-1437 | 2016-02-08 |
| 1326414350 | Synergy Recovery Center | Substance Abuse Rehabilitation Facility | 3955 S Farm Road 223, Rogersville, MO 65742-8807 | 2015-08-13 |
| 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 |
| 1538571542 | Mothers Against Methamphetamine-opening Doors To Recovery | Substance Abuse Rehabilitation Facility | 17404 Freedom Rd, Willow Springs, MO 65793-7932 | 2014-05-25 |
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| 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.