NPIMap

Organization Active NPI

United Cerebral Palsy Heartland

  • Developmentally Disabled Services Day Training Agency
  • Saint Louis, MO
National Provider Identifier
1770645962
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
UNITED CEREBRAL PALSY HEARTLAND
Practice address
8645 Old Bonhomme Rd
Saint Louis, MO 63132-3901
Phone
(314) 994-1600
Fax
(314) 994-0179
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Lori Ann Burch
Title
Cfo
Phone
(636) 779-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MO Primary

Addresses

Primary practice location

8645 Old Bonhomme Rd
Saint Louis, MO 63132-3901

Mailing address

4645 Laguardia Drive
Berkeley, MO 63134
Phone (314) 994-1600

Other identifiers 2

IdentifierTypeStateIssuer
852639400MedicaidMO
852639418MedicaidMO

Other names 1

  • UCP Heartland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy Association of Greater St Louis9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4645 Laguardia Dr
Berkeley, MO 63134

25 S Fourth St
Columbia, MO 65201
Phone (573) 415-8903

6325 Clayton Ave
Saint Louis, MO 63139
Phone (314) 943-1179

Practitioners & affiliated clinicians

Practitioners 8

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1770645962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 LAGUARDIA DRIVE",
            "city": "BERKELEY",
            "state": "MO",
            "postal_code": "63134",
            "telephone_number": "314-994-1600",
            "fax_number": "314-994-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 OLD BONHOMME RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323901",
            "telephone_number": "314-994-1600",
            "fax_number": "314-994-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY HEARTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "636-779-2251"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852639400",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852639418",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCP Heartland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.