Support Innovations Plus

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SUPPORT INNOVATIONS PLUS

Practice address

1811 Dunn Rd
Florissant, MO 63033-6116

Phone

(314) 839-4458

Fax

(314) 839-1159

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Timothy Kleinlein

Title

President

Phone

(314) 205-0588

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Support Innovations Plus

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
  • NPI 1033489117
  NPD tax ID
• Support Innovations Plus

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
  • NPI 1285904268
  NPD tax ID

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": "1366712341",
    "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": "1811 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336116",
            "telephone_number": "314-839-4458",
            "fax_number": "314-839-1159"
        }
    ],
    "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"
    },
    "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": []
}

• Mark Daniel Sueoka, DDS
• Tipu Sultan, M.D.
• Mikkaela Suntrup, PTA
• Support Independence LLC
• Support Innovations Inc.
• Supportive Living Consumer Direct
• Cedric Lorenzo Sutton
• SVS Vision Inc
• Sandra Swanson-Whitworth
• Leah Swartwout, MD

• Adult Day Care Clinic/Center in Florissant, MO
• Providers in Florissant, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• 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.