WRIGHT WAY RESIDENTIAL LIVING


Address: 2115 Allen Ave, Apt A, Saint Louis, MO 63104-2630
Phone: 3147572704

WRIGHT WAY RESIDENTIAL LIVING (NPI# 1588108336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588108336
Entity Type Organization
Organization Name WRIGHT WAY RESIDENTIAL LIVING
Practice Address 2115 Allen Ave
Apt A
Saint Louis
MO 63104-2630
Mailing Address Po Box 15171
Saint Louis
MO 63110-0171
Practice Telephone 3147572704
Enumeration Date 2016-12-13
Last Update Date 2016-12-13
Authorized Official Name MRS. LILLIAN WARE (OWNER/EXECUTIVE DIRECTOR)
Authorized Official Telephone 3147572704
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 2115 ALLEN AVE
APT A
City SAINT LOUIS
State MO
Zip Code 63104-2630

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1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952768889 Living With Purpose Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3919 N 19th St, Saint Louis, MO 63107-2816 2016-01-22
1154788156 Promise Mobility LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5 S Newstead Ave, Saint Louis, MO 63108-2213 2016-01-21
1013334622 Ebony Wilson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3514 Blair Ave, Saint Louis, MO 63107-3717 2014-03-20
1871914515 Donald Scales Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8543 Jane Ave, Saint Louis, MO 63121-4309 2013-12-24
1609218593 Young Mens Christian Association of Greater St Louis Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1528 Locust St, Saint Louis, MO 63103-1816 2013-07-22
1467894535 Sun Valley Adult Care Center, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1000 Saint Cyr Rd, Saint Louis, MO 63137-1733 2013-07-18
1477802957 Phillips Professional Home Health Service Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8456 A Page Ave, Saint Louis, MO 63130-1055 2012-08-30
1013283373 Mers/missouri Goodwill Industries Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1727 Locust St, Saint Louis, MO 63103-1703 2012-03-30
1720359961 Bethesda Lutheran Communities Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5122 Amberglow Dr, Saint Louis, MO 63129-3204 2012-01-19
1356662910 Calista E. Melkersman Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4635 Frankfort Ave, Saint Louis, MO 63123-5832 2010-06-17
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Competitor

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City SAINT LOUIS
Zip Code 63104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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