Easter Seals Midwest in Ballwin - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Easter Seals Midwest - NPI 1649301789
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 1649301789. The last update date is 2015-02-04.
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 | 1649301789 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2015-02-04 |
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 |
|---|---|---|---|
| 852794510 | MO | -- |
Post Comment/ Review Below
What is the Easter Seals Midwest's 1649301789?
The Easter Seals Midwest's NPI (National Provider Identifier) Number is 1649301789. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Easter Seals Midwest?
The Easter Seals Midwest is situated at 13545 Barrett Parkway Drive, in the city of Ballwin, state of MO, with the zip code 63021.
What is the Easter Seals Midwest's specialty and taxonomy code?
The Easter Seals Midwest's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date did the Easter Seals Midwest receive the assignment of its 1649301789 from the Centers for Medicare & Medicaid Services?
The Easter Seals Midwest was issued its 1649301789 by the Centers for Medicare & Medicaid Services on 2007-03-08.
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 2015-02-04.