I-WAVE (NPI# 1467005744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467005744 |
| Entity Type | Organization |
| Organization Name | I-WAVE |
| Practice Address |
10995 Chase Park Ln Apt C Saint Louis MO 63141-5787 |
| Mailing Address |
Po Box 410708 Saint Louis MO 63141-0708 |
| Practice Telephone | 3144419488 |
| Practice Fax Number | 8443785562 |
| Mailing Telephone | 3808671900 |
| Mailing Fax Number | 8443785562 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | TAMERIA D SPEARMAN (CEO/DIRECTOR) |
| Authorized Official Telephone | 3808671900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities | ||
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | I-WAVE | 10995 Chase Park Ln Apt C, Saint Louis, MO 63141-5787 |
| New York State Corporations | I-WAVE, INC. | 958 Bowling Green Drive, Westbury, New York 11590 |
| Street Address |
10995 CHASE PARK LN APT C |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-5787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922463611 | M.l.s. Md,llc | Internal Medicine | 10995 Chase Park Ln Apt C, Saint Louis, MO 63141-5787 | 2015-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
| 1336304450 | Make Over for Life Outreach | Substance Abuse Rehabilitation Facility | 5218 Highland Ave, Saint Louis, MO 63113-1106 | 2008-07-29 |
| 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 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on I-WAVE.
| 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.