Active NPI
English Haven Support Services LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Saint Louis, MO
National Provider Identifier
1578189742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.