Lessie Bates Davis Neighborhood House

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LESSIE BATES DAVIS NEIGHBORHOOD HOUSE

Practice address

1200 N 13TH St
East Saint Louis, IL 62205-2975

Phone

(618) 874-0777

Fax

(618) 874-0511

NPI assigned

Mar 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. William R Kreeb

Title

President/Ceo

Phone

(618) 875-2211

Specialties & licenses 1

Addresses

Tax ID family

Lessie Bates Davis Neighborhood House2 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.

• Lessie Bates Davis Neighborhood House

  • Physical Therapist
  • East Saint Louis, IL
  • NPI 1790156610
  NPD tax ID

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1659796456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 13TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052975",
            "telephone_number": "618-874-0777",
            "fax_number": "618-874-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 13TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052975",
            "telephone_number": "618-874-0777",
            "fax_number": "618-874-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESSIE BATES DAVIS NEIGHBORHOOD HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "KREEB",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "618-875-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny D. Kharsi, LCSW
• Maryana F Kirolos, D.D.S.
• Denise J Krone, FNP,BC
• Jean Lammers, PT
• Felicia Gabriel Larkin
• Lessie Bates Davis Neighborhood House
• Carla Renee Lewis, D.D.S.
• Danielle M Loftus, DNP, APRN, FNP-BC
• Albert Long
• Christopher Jacob Loynd, D.O.

• In Home Supportive Care Agency in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.