Gas Ince

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

GAS INCE

Practice address

122 E Pratt St
De Soto, MO 63020-2143

Phone

(636) 337-8828

Fax

(636) 337-2839

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Alysha Lynn Sauer

Title

Office Manager

Phone

(636) 933-4911

Specialties & licenses 1

Addresses

Other names 1

• Colonial House Doing business as

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1366622649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WEST AVE",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281733",
            "telephone_number": "636-933-4911",
            "fax_number": "636-933-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E PRATT ST",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630202143",
            "telephone_number": "636-337-8828",
            "fax_number": "636-337-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAS INCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "ALYSHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-933-4911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Families 1St of Desoto, LLC.
• Kim Fisher
• Tom J Flanagan Jr., LCSW
• Mandy Jo Foster, LMT
• From the Inside Out Counseling
• Graceful Mama Doula Network LLC
• Darrell Gene Grant, LPC
• Great Mines Health Center
• Madison Lynn Hayes-Gowen
• Carly Mae Herget

• Assisted Living Facility (Mental Illness) in De Soto, MO
• Providers in De Soto, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.