EASTER SEALS MIDWEST (NPI# 1629100342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629100342 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS MIDWEST |
| Practice Address |
833 Townhouse Hazelwood MO 63042 |
| Mailing Address |
13545 Barrett Parkway Drive Suite 300 Ballwin MO 63021 |
| Practice Telephone | 3143947100 |
| Practice Fax Number | 3143944007 |
| Mailing Telephone | 3143947100 |
| Mailing Fax Number | 3143944007 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-02-23 |
| NPI Deactivation Date | 01/06/2011 |
| NPI Reactivation Date | 2015-02-03 |
| Authorized Official Name | MR. JOHN W. ADKINS (VICE PRESIDENT, CFO) |
| Authorized Official Telephone | 3143947100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 855266607 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588796221 | Easter Seals Midwest | Community/Behavioral Health | 1740 S Glenstone, Suite S, Springfield, MO 65804 | 2007-03-09 |
| 1225160146 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Calverton Road, St. Louis, MO 63135 | 2007-03-09 |
| 1144352824 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7465 Rockwood Drive, St. Louis, MO 63123 | 2007-03-09 |
| 1164554853 | Easter Seals Midwest | Community/Behavioral Health | 918 Bernadette Drive, Columbia, MO 65203 | 2007-03-09 |
| 1871625582 | Easter Seals Midwest | Occupational Therapy Assistant | 13545 Barrett Pkwy Drive, Suite 300, Ballwin, MO 63021 | 2007-03-09 |
| 1871625566 | Easter Seals Midwest | Community/Behavioral Health | 611 North Fountain Street, Cape Girardeau, MO 63701 | 2007-03-09 |
| 1649301789 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13545 Barrett Parkway Drive, Suite 300, Ballwin, MO 63021 | 2007-03-08 |
| 1699818542 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 893 Prigge, Spanish Lake, MO 63138 | 2007-02-14 |
| 1891838744 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 2215 Lackland Road, Overland, MO 63114 | 2007-02-14 |
| 1700929627 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 8621 Brenner Avenue, Overland, MO 63114 | 2007-02-14 |
| Street Address |
833 TOWNHOUSE |
| City | HAZELWOOD |
| State | MO |
| Zip Code | 63042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101147 | Infusion Health Care, LLC | Home Health | 7220 N Linbergh, Suite 355, Hazelwood, MO 63042 | 2020-07-22 |
| 1558993014 | Humble Helpers Home Care, LLC | Home Health | 7220 N Linbergh Blvd, Suite 240, Hazlewood, MO 63042 | 2020-02-12 |
| 1417462391 | Community Care | Registered Nurse | 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 | 2017-12-13 |
| 1649797077 | Eric R Ricker | Optometrist | 7934 North Lindbergh Blvd Ste A, Hazelwood, MO 63042 | 2017-08-25 |
| 1750802799 | Health Remedies LLC | Meals | 414 Elmgrove Ln Apt 2, St. Louis, MO 63042 | 2017-06-29 |
| 1508396193 | Tyrone Cain | Home Health | 7865 Chalmette Drive, Hazelwood, MO 63042 | 2017-06-15 |
| 1497114888 | Joshalyn Mills | Massage Therapist | 4808 Tall Tree Ln, Hazelwood, MO 63042 | 2016-02-15 |
| 1902264286 | Tricar Inc | In Home Supportive Care | 1740 Leafcrest Dr, Hazelwood, MO 63042 | 2016-02-02 |
| 1255750840 | Jeffrey Kelly | Specialist/Technologist | 7220 N Lindbergh, Salyer Perfusion Blvd Ste 360, St. Louis, MO 63042 | 2014-04-10 |
| 1477894426 | 2nd Chance 4 You, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 327 Sturbridge, Hazelwood, MO 63042 | 2013-03-14 |
| Find all providers in zip 63042 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477894426 | 2nd Chance 4 You, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 327 Sturbridge, Hazelwood, MO 63042 | 2013-03-14 |
| 1669658910 | St. Louis Arc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 714 Carriage Ln, Hazelwood, MO 63042-3452 | 2008-01-17 |
| 1396082277 | Enhanced Quality of Life LLC Adult Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 400 Chez Paree Dr, Hazelwood, MO 63042-3540 | 2013-01-11 |
| 1306965710 | Creative Concepts for Living Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7157 N Lindbergh Blvd, Hazelwood, MO 63042-2039 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
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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.