Easter Seals Midwest

Primary specialty

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

Legal business name

EASTER SEALS MIDWEST

Practice address

833 Townhouse
Hazelwood, MO 63042

Phone

(314) 394-7100

Fax

(314) 394-4007

NPI assigned

Mar 9, 2007

Reactivated

Feb 3, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John W. Adkins

Title

Vice President, Cfo

Phone

(314) 394-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Easter Seals Midwest16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kirkwood, MO
  • NPI 1093857112
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • St. Louis, MO
  • NPI 1144352824
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Columbia, MO
  • NPI 1164554853
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • St. Louis, MO
  • NPI 1225160146
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • University City, MO
  • NPI 1245373190
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ballwin, MO
  • NPI 1417090374
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • St. Louis, MO
  • NPI 1578605606
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, MO
  • NPI 1588796221
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ballwin, MO
  • NPI 1649301789
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Spanish Lake, MO
  • NPI 1699818542
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Overland, MO
  • NPI 1700929627
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cape Girardeau, MO
  • NPI 1871625566
  NPD tax ID

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1629100342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13545 BARRETT PARKWAY DRIVE",
            "address_2": "SUITE 300",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63021",
            "telephone_number": "314-394-7100",
            "fax_number": "314-394-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 TOWNHOUSE",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "63042",
            "telephone_number": "314-394-7100",
            "fax_number": "314-394-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-02-23",
        "deactivation_date": "2011-01-06",
        "reactivation_date": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "314-394-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855266607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hazelwood, MO
• Providers in Hazelwood, 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 Feb 23, 2015; 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.