Organization Active NPI

People Overcoming With Everlasting Results, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Belleville, IL
National Provider Identifier
1619515665
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PEOPLE OVERCOMING WITH EVERLASTING RESULTS, INC.
Practice address
6400 W Main St Ste 1F-3
Belleville, IL 62223-3806
Phone
(314) 270-2990
NPI assigned
Dec 19, 2019
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Mrs. Rachelle Ann Perkins, MA
Title
Chief Executive Officer
Phone
(618) 514-6310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

6400 W Main St Ste 1F-3
Belleville, IL 62223-3806

Mailing address

5731 Mount Pleasant LN Unit 24355
Belleville, IL 62223-5167
Phone (618) 514-6310

Other identifiers 1

IdentifierTypeStateIssuer
9761303MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL powerincorporated1@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

5731 Mount Pleasant Ln
Unit 24355
Belleville, IL 62223

6400 W Main St
Ste 1F3
Belleville, IL 62223
Phone (314) 270-2990

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1619515665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 MOUNT PLEASANT LN UNIT 24355",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235167",
            "telephone_number": "618-514-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W MAIN ST STE 1F-3",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233806",
            "telephone_number": "314-270-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE OVERCOMING WITH EVERLASTING RESULTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "618-514-6310",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9761303",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "powerincorporated1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Email",
            "address_1": "5731 Mount Pleasant Ln Unit 24355",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622235167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.