Young Mens Christian Association of Greater St Louis

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

EL1-0043-0313 Issued in MO

Legal business name

YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER ST LOUIS

Practice address

1528 Locust St
Saint Louis, MO 63103-1816

Phone

(314) 436-1177

Fax

(314) 436-1901

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Debra Redmond, B.S.

Title

Senior Program Director

Phone

(314) 352-5087

Specialties & licenses 1

Addresses

Other names 1

• YMCA Other name

Tax ID family

Gateway Region Young Men'S Christian Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gateway Region Young Men'S Christian Association

  • Health Educator
  • Saint Louis, MO
  • NPI 1780131557
  NPD tax ID

Locations

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1609218593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631113119",
            "telephone_number": "314-352-5087",
            "fax_number": "314-353-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 LOCUST ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031816",
            "telephone_number": "314-436-1177",
            "fax_number": "314-436-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER ST LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SENIOR PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "314-352-5087",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "EL1-0043-0313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YMCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rodney Mark Yost
• Caroline Grace Youdes
• Young & Restless Home Health Care
• Young in Spirit Adult Daycare, LLC
• Young in Spirit Adult Daycare, LLC
• Whitney Danielle Young-Brown
• Alan Robert Young, MA MDIV
• Alexander H Young, MD
• Alysa Young, FNP-C
• Andrew Lee Young, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.