Easter Seals Midwest in Ballwin - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Easter Seals Midwest - NPI 1417090374
Easter Seals Midwest is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Ballwin, Missouri. Easter Seals Midwest practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Easter Seals Midwest is 1417090374. The last update date is 2015-02-03.
Easter Seals Midwest's current location address is 13545 Barrett Parkway Drive, Ballwin, Missouri. You can contact this provider via phone number 3143947100 and fax number 3143944007. The mailing address for Easter Seals Midwest is 13545 Barrett Parkway Drive, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Easter Seals Midwest |
|---|---|
| Address | 13545 Barrett Parkway Drive, Ballwin, Missouri |
| Phone Number | 3143947100 |
| Fax Number | 3143944007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Adkins W. John |
| Telephone Number | 3143947100 |
NPI Number Detail
| NPI Number | 1417090374 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2015-02-03 |
Provider Mailing Address Detail
| Address | 13545 Barrett Parkway Drive |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 63021 |
| Phone Number | 3143947100 |
| Fax Number | 3143944007 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 857710909 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Easter Seals Midwest by the Centers for Medicare & Medicaid Services (CMS)?
The Easter Seals Midwest has been assigned the NPI (National Provider Identifier) 1417090374. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Easter Seals Midwest's physical address?
The Easter Seals Midwest is physically located at 13545 Barrett Parkway Drive, in the city of Ballwin, MO, with the postal code 63021.
What is the Easter Seals Midwest's area of specialization and corresponding taxonomy classification?
The Easter Seals Midwest's specialty field is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417090374 to Easter Seals Midwest?
The Centers for Medicare & Medicaid Services originally issued the 1417090374 to Easter Seals Midwest on 2007-02-14.
As of what date were the details related to Easter Seals Midwest most recently updated or revised?
The information pertaining to Easter Seals Midwest, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-03.
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