Organization Active NPI

Support Innovations Plus

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1033489117
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SUPPORT INNOVATIONS PLUS
Practice address
2219 Pine St
Saint Louis, MO 63103-2217
Phone
(314) 436-8831
Fax
(314) 588-7655
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Timothy Kleinlein
Title
President
Phone
(314) 205-0588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2219 Pine St
Saint Louis, MO 63103-2217

Mailing address

13422 Clayton Rd
Suite 214
Saint Louis, MO 63131-1008
Phone (314) 205-0588

Other identifiers 1

IdentifierTypeStateIssuer
3209MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Support Innovations Plus3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1033489117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13422 CLAYTON RD",
            "address_2": "SUITE 214",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311008",
            "telephone_number": "314-205-0588",
            "fax_number": "314-205-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 PINE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032217",
            "telephone_number": "314-436-8831",
            "fax_number": "314-588-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT INNOVATIONS PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "KLEINLEIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-205-0588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.