NPIMap

Organization Active NPI

United Cerebral Palsy Association of Greater St. Louis

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
National Provider Identifier
1386763258
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER ST. LOUIS
Practice address
8645 Old Bonhomme Rd
Saint Louis, MO 63132-3901
Phone
(314) 994-1600
Fax
(314) 994-0179
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Forkosh
Title
Executive Director
Phone
(314) 994-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

8645 Old Bonhomme Rd
Saint Louis, MO 63132-3901

Mailing address

8645 Old Bonhomme Rd
Saint Louis, MO 63132-3901
Phone (314) 994-1600

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy Association of Greater St Louis9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386763258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 OLD BONHOMME RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323901",
            "telephone_number": "314-994-1600",
            "fax_number": "314-994-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 OLD BONHOMME RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323901",
            "telephone_number": "314-994-1600",
            "fax_number": "314-994-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOCIATION OF GREATER ST. LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORKOSH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-994-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.