Organization Active NPI

English Haven Support Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Saint Louis, MO
National Provider Identifier
1578189742
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ENGLISH HAVEN SUPPORT SERVICES LLC
Practice address
12578 Fee Fee Rd
Saint Louis, MO 63146-3863
Phone
(314) 226-4048
NPI assigned
Jun 23, 2020
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Mr. Micheal Tremayne English
Title
Executive Director
Phone
(314) 226-4048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

12578 Fee Fee Rd
Saint Louis, MO 63146-3863

Mailing address

177 Weldon Pkwy Unit 1533
Maryland Heights, MO 63043-5061
Phone (314) 226-4048

National Provider Directory

National Provider Directory

Locations

177 Weldon Pkwy
Unit 1533
Maryland Heights, MO 63043

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1578189742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WELDON PKWY UNIT 1533",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630435061",
            "telephone_number": "314-226-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12578 FEE FEE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463863",
            "telephone_number": "314-226-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLISH HAVEN SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "TREMAYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-226-4048",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "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 Jun 23, 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.