Ted-Lea, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

TED-LEA, INC.

Doing business as

The Boarding Inn

Practice address

9444 Midland Blvd
Overland, MO 63114-3328

Phone

(314) 426-0091

Fax

(314) 426-0099

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Marberry

Title

Vice President/Manager

Phone

(314) 426-0091

Specialties & licenses 1

Addresses

Other names 1

• The Boarding Inn Doing business as

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1467919233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 MIDLAND BLVD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631143328",
            "telephone_number": "314-426-0091",
            "fax_number": "314-426-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9444 MIDLAND BLVD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631143328",
            "telephone_number": "314-426-0091",
            "fax_number": "314-426-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED-LEA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "MARBERRY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "VICE PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "314-426-0091"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Boarding Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Overland, MO
• Providers in Overland, MO by specialty
• Mental Illness Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.