Organization Active NPI

Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Overland, MO
National Provider Identifier
1891838744
Registry record updated Feb 3, 2015
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
EASTER SEALS MIDWEST
Practice address
2215 Lackland Road
Overland, MO 63114
Phone
(314) 394-7100
Fax
(314) 394-4007
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Mr. John W. Adkins
Title
Vice Presiden, Cfo
Phone
(314) 394-7100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2215 Lackland Road
Overland, MO 63114

Mailing address

13545 Barrett Parkway Drive
Suite 300
Ballwin, MO 63021
Phone (314) 394-7100

Other identifiers 1

IdentifierTypeStateIssuer
852837749MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Midwest16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1891838744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13545 BARRETT PARKWAY DRIVE",
            "address_2": "SUITE 300",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63021",
            "telephone_number": "314-394-7100",
            "fax_number": "314-694-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LACKLAND ROAD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "63114",
            "telephone_number": "314-394-7100",
            "fax_number": "314-394-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE PRESIDEN, CFO",
        "authorized_official_telephone_number": "314-394-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852837749",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 3, 2015; 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.