Educare Community Living Corporation - Missouri

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EDUCARE COMMUNITY LIVING CORPORATION - MISSOURI

Practice address

2570 Metro Blvd
Maryland Heights, MO 63043-2417

Phone

(314) 994-3033

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Deena G Ombres

Title

Assoc. Gen. Counsel/Privacy Officer

Phone

(502) 394-2387

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1215090352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 METRO BLVD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432417",
            "telephone_number": "314-994-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCARE COMMUNITY LIVING CORPORATION - MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "OMBRES",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ASSOC. GEN. COUNSEL/PRIVACY OFFICER",
        "authorized_official_telephone_number": "502-394-2387",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267723302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Laurie Jahnke DC LLC
• Jean Z Drazen, P.T.
• Annclaire Dryer
• Mark Ryan Eckelkamp
• Grace Ederer, RN
• Emily Ehrhart, PLPC
• Dennis Elliott, LPC
• Eileen Eng-Liu
• Essence Healthcare, Inc.
• Helen R Evans, FNP-C

• Developmentally Disabled Services Day Training Agency in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Developmentally Disabled Services Day Training Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.