ST. LOUIS PROJECT CLUB (NPI# 1649723081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649723081 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS PROJECT CLUB |
| Practice Address |
3662 S Broadway S Saint Louis MO 63118-4045 |
| Mailing Address |
1428 Chouteau Ave Saint Louis MO 63103-3105 |
| Practice Telephone | 3142005707 |
| Practice Fax Number | 3144994358 |
| Mailing Telephone | 3142005707 |
| Mailing Fax Number | 3144994358 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | MARY CURLEE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3147300070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
3662 S BROADWAY S |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487970364 | C & S Facilities LLC | Day Training, Developmentally Disabled Services | 10501 Halls Ferry Rd, Saint Louis, MO 63136-4422 | 2010-04-16 |
| 1518291418 | Judevine, Inc. | Day Training, Developmentally Disabled Services | 1810 Craig Rd Ste 109, Saint Louis, MO 63146-4758 | 2009-09-24 |
| 1902062565 | Pathways-homes for Exceptional Persons | Day Training, Developmentally Disabled Services | 4652 Medalton Way, Saint Louis, MO 63128-3527 | 2008-08-04 |
| 1407018815 | New Beginnings Home, Inc | Day Training, Developmentally Disabled Services | 5919 Park Ln, Saint Louis, MO 63147-1115 | 2008-06-26 |
| 1215109178 | Dsa, Inc. | Day Training, Developmentally Disabled Services | 16 Bellerive Cntry Club Grounds, Saint Louis, MO 63141-7320 | 2008-03-31 |
| 1720259534 | Center Stage Inc. | Day Training, Developmentally Disabled Services | 3923 Washington Blvd, Saint Louis, MO 63108-3507 | 2008-03-19 |
| 1073718698 | Christian Faith Ctr Adult Health Daycare | Day Training, Developmentally Disabled Services | 2003 Chambers Rd, Saint Louis, MO 63136-4307 | 2007-06-15 |
| 1184741753 | The Center for Head Injury Services | Day Training, Developmentally Disabled Services | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2007-03-26 |
| 1003933706 | Life Skills Foundation, Inc | Day Training, Developmentally Disabled Services | 10176 Corporate Square Dr Ste 100-huntsm, Saint Louis, MO 63132-2924 | 2007-03-26 |
| 1750406948 | Life Development Support Centers | Day Training, Developmentally Disabled Services | 12259-61 Bellefontaine Road, Saint Louis, MO 63138 | 2007-03-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on ST. LOUIS PROJECT CLUB.
| 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.