LIFE DEVELOPMENT SUPPORT CENTERS


Address: 12259-61 Bellefontaine Road, Saint Louis, MO 63138
Phone: 3146536882

LIFE DEVELOPMENT SUPPORT CENTERS (NPI# 1750406948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750406948
Entity Type Organization
Organization Name LIFE DEVELOPMENT SUPPORT CENTERS
Practice Address 12259-61 Bellefontaine Road
Saint Louis
MO 63138
Practice Telephone 3146536882
Practice Fax Number 3146536420
Mailing Telephone 3146536882
Mailing Fax Number 3146536420
Enumeration Date 2007-03-20
Last Update Date 2020-08-22
Authorized Official Name MRS. JOANNA L. HARRIS (DIRECTOR)
Authorized Official Telephone 3146536882
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 251C00000X Day Training, Developmentally Disabled Services Agencies
X 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities MO Residential Treatment Facilities

Office Location

Street Address 12259-61 BELLEFONTAINE ROAD
City SAINT LOUIS
State MO
Zip Code 63138

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043856396 D&n Services Registered Nurse 1891 Arrowpoint Dr, St Louis, MO 63138 2019-11-21
1902468747 Sincere Home Health Services Home Health 1313 Columbus Dr., Saint Louis, MO 63138 2019-07-02
1053899153 Nadiyah L Brandon Driver 1841 Arrow Point Dr, Saint Louis, MO 63138 2018-07-31
1518489186 Laconte Randle Nurse Practitioner 1225 Lakeview Ave, Saint Louis, MO 63138 2017-07-14
1811369499 Tyler Musto Dentist 120000 Bellefontaine, St. Louis, MO 63138 2015-10-22
1346627106 Family United Adult Day Center, LLC Clinic/Center 12444 Lusher Road, Saint Louis, MO 63138 2015-04-30
1629340765 Samuel Mugwe Kimari Specialist 11838 Orletto Way, St.louis, MO 63138 2012-02-06
1447536453 Cignodental Care LLP Dentist 12000 Bellefontaine, Saint Louis, MO 63138 2011-10-24
1255515995 Timothy A Schaible Dmd PC Dentist 1544 Sierra Vista Plaza, St Louis, MO 63138 2007-12-18
1699818542 Easter Seals Midwest Day Training, Developmentally Disabled Services 893 Prigge, Spanish Lake, MO 63138 2007-02-14
Find all providers in zip 63138

Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649723081 St. Louis Project Club Day Training, Developmentally Disabled Services 3662 S Broadway S, Saint Louis, MO 63118-4045 2016-08-02
1487970364 C & S Facilities LLC Day Training, Developmentally Disabled Services 10501 Halls Ferry Rd, Saint Louis, MO 63136-4422 2010-04-16
1518291418 Judevine, Inc. Day Training, Developmentally Disabled Services 1810 Craig Rd Ste 109, Saint Louis, MO 63146-4758 2009-09-24
1902062565 Pathways-homes for Exceptional Persons Day Training, Developmentally Disabled Services 4652 Medalton Way, Saint Louis, MO 63128-3527 2008-08-04
1407018815 New Beginnings Home, Inc Day Training, Developmentally Disabled Services 5919 Park Ln, Saint Louis, MO 63147-1115 2008-06-26
1215109178 Dsa, Inc. Day Training, Developmentally Disabled Services 16 Bellerive Cntry Club Grounds, Saint Louis, MO 63141-7320 2008-03-31
1720259534 Center Stage Inc. Day Training, Developmentally Disabled Services 3923 Washington Blvd, Saint Louis, MO 63108-3507 2008-03-19
1073718698 Christian Faith Ctr Adult Health Daycare Day Training, Developmentally Disabled Services 2003 Chambers Rd, Saint Louis, MO 63136-4307 2007-06-15
1184741753 The Center for Head Injury Services Day Training, Developmentally Disabled Services 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 2007-03-26
1003933706 Life Skills Foundation, Inc Day Training, Developmentally Disabled Services 10176 Corporate Square Dr Ste 100-huntsm, Saint Louis, MO 63132-2924 2007-03-26
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63138

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Dataset Information

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.

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