NPIMap

Organization Active NPI

I-Wave

  • Substance Abuse Rehabilitation Facility
  • Saint Louis, MO
National Provider Identifier
1467005744
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
I-WAVE
Practice address
10995 Chase Park LN Apt C
Saint Louis, MO 63141-5787
Phone
(314) 441-9488
Fax
(844) 378-5562
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Tameria D Spearman
Title
Ceo/Director
Phone
(380) 867-1900

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Assisted Living Facility (Mental Illness) 3104A0625X
Mental Illness Intermediate Care Facility 310500000X
Skilled Nursing Facility 314000000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

10995 Chase Park LN Apt C
Saint Louis, MO 63141-5787

Mailing address

PO Box 410708
Saint Louis, MO 63141-0708
Phone (380) 867-1900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1467005744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410708",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631410708",
            "telephone_number": "380-867-1900",
            "fax_number": "844-378-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 CHASE PARK LN APT C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415787",
            "telephone_number": "314-441-9488",
            "fax_number": "844-378-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-WAVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "SPEARMAN",
        "authorized_official_first_name": "TAMERIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "380-867-1900"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Jul 16, 2019; 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.