Active NPI
Support Innovations Plus
- Adult Day Care Clinic/Center
- Saint Louis, MO
National Provider Identifier
1033489117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3209 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Support Innovations Plus
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Saint Louis, MO
- NPI 1285904268
-
- Adult Day Care Clinic/Center
- Florissant, MO
- NPI 1366712341
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.