EASTER SEALS MIDWEST (NPI# 1871625582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871625582 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS MIDWEST |
| Other Organization Name | JUDEVINE CENTER FOR AUTISM |
| Practice Address |
13545 Barrett Pkwy Drive Suite 300 Ballwin MO 63021 |
| Mailing Address |
13545 Barrett Parkway Drive Suite 300 Ballwin MO 63021 |
| Practice Telephone | 3143947100 |
| Practice Fax Number | 3143944007 |
| Mailing Telephone | 3143947100 |
| Mailing Fax Number | 3143944007 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | MR. JOHN W. ADKINS (VICE PRESIDENT, CFO) |
| Authorized Official Telephone | 3143947100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 2010005293 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 118073 | MO | Speech, Language and Hearing Service Providers |
| N | 101Y00000X | Counselor | 2205030351 | MO | Behavioral Health & Social Service Providers |
| N | 225X00000X | Occupational Therapist | 2001015378 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | 1999140934 | MO | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 001967 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 852794502 | 05 |
| Other Name | Type Code |
|---|---|
| Judevine Center for Autism | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629100342 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 833 Townhouse, Hazelwood, MO 63042 | 2007-03-09 |
| 1588796221 | Easter Seals Midwest | Community/Behavioral Health | 1740 S Glenstone, Suite S, Springfield, MO 65804 | 2007-03-09 |
| 1225160146 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Calverton Road, St. Louis, MO 63135 | 2007-03-09 |
| 1144352824 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7465 Rockwood Drive, St. Louis, MO 63123 | 2007-03-09 |
| 1164554853 | Easter Seals Midwest | Community/Behavioral Health | 918 Bernadette Drive, Columbia, MO 65203 | 2007-03-09 |
| 1871625566 | Easter Seals Midwest | Community/Behavioral Health | 611 North Fountain Street, Cape Girardeau, MO 63701 | 2007-03-09 |
| 1649301789 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13545 Barrett Parkway Drive, Suite 300, Ballwin, MO 63021 | 2007-03-08 |
| 1699818542 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 893 Prigge, Spanish Lake, MO 63138 | 2007-02-14 |
| 1891838744 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 2215 Lackland Road, Overland, MO 63114 | 2007-02-14 |
| 1700929627 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 8621 Brenner Avenue, Overland, MO 63114 | 2007-02-14 |
| Street Address |
13545 BARRETT PKWY DRIVE SUITE 300 |
| City | BALLWIN |
| State | MO |
| Zip Code | 63021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124143946 | Services By Design, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Applegate Ln, Ballwin, MO 63011-3209 | 2007-03-20 |
| 1649301789 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13545 Barrett Parkway Drive, Suite 300, Ballwin, MO 63021 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
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| 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.