Organization Active NPI

Taab, LLC

Doing business as Fresh Winds

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Charles, MO
National Provider Identifier
1750993358
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
TAAB, LLC
Doing business as
Fresh Winds
Practice address
1550 Wall St Ste 16a
Saint Charles, MO 63303-3524
Phone
(314) 398-0090
NPI assigned
Aug 17, 2020
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Tommy Brown
Title
Owner
Phone
(314) 398-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1550 Wall St Ste 16a
Saint Charles, MO 63303-3524

Mailing address

1713 Bramblett Xing
O Fallon, MO 63366-3259
Phone (314) 398-0090

Other names 1

  • Fresh Winds Doing business as

National Provider Directory

National Provider Directory

Locations

1550 Wall St
Ste 16A
Saint Charles, MO 63303
Phone (314) 398-0090

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1750993358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 BRAMBLETT XING",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663259",
            "telephone_number": "314-398-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WALL ST STE 16A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033524",
            "telephone_number": "314-398-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-398-0090"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Winds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.