Organization Active NPI

Risingabove Independent Supported Living

  • Assisted Living Facility (Mental Illness)
  • Overland, MO
National Provider Identifier
1710126792
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
RISINGABOVE INDEPENDENT SUPPORTED LIVING
Doing business as
risingabove independent supported living
Practice address
2330 # 2 Woodson Road
Overland, MO 63114
Phone
(314) 532-9029
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Ms. Sandra Rena Williams
Title
Owner/ Administrator
Phone
(314) 532-9029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2330 # 2 Woodson Road
Overland, MO 63114

Mailing address

2330 # 2 Woodson Road
Overland, MO 63114
Phone (314) 532-9029

Other names 1

  • risingabove independent supported living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1710126792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 # 2 WOODSON ROAD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "63114",
            "telephone_number": "314-532-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 # 2 WOODSON ROAD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "63114",
            "telephone_number": "314-532-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISINGABOVE INDEPENDENT SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "314-532-9029",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "risingabove independent supported living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.