Organization Active NPI

Lea-Ed Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Lemay, MO
National Provider Identifier
1760940209
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LEA-ED INC
Practice address
30 Sherman Road
Lemay, MO 63125
Phone
(314) 892-2212
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Ed Dering
Title
Vice Pres/MGR
Phone
(314) 892-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

30 Sherman Road
Lemay, MO 63125

Mailing address

30 Sherman Rd
Lemay, MO 63125-4125
Phone (314) 892-2212

Other names 1

  • Sywan House Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0957757Lea Ed, Inc Dba Sylvan House30 Sherman Road, Saint Louis, MO 63125Certificate of waiverFeb 28, 2027

National Provider Directory

National Provider Directory

Locations

30 Sherman Rd
Saint Louis, MO 63125
Phone (314) 892-2212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1760940209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SHERMAN RD",
            "city": "LEMAY",
            "state": "MO",
            "postal_code": "631254125",
            "telephone_number": "314-892-2212",
            "fax_number": "314-892-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHERMAN ROAD",
            "city": "LEMAY",
            "state": "MO",
            "postal_code": "63125",
            "telephone_number": "314-892-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA-ED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "DERING",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "VICE PRES/MGR",
        "authorized_official_telephone_number": "314-892-2212"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sywan House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemay, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.