Active NPI
Lea-Ed Inc
- Mental Illness Community Based Residential Treatment Facility
- Lemay, MO
National Provider Identifier
1760940209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0957757 | Lea Ed, Inc Dba Sylvan House | Certificate of waiver | Feb 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- St Louis, MO
- NPI 1669542668
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.