PATHWAYS-HOMES FOR EXCEPTIONAL PERSONS (NPI# 1902062565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902062565 |
| Entity Type | Organization |
| Organization Name | PATHWAYS-HOMES FOR EXCEPTIONAL PERSONS |
| Practice Address |
4652 Medalton Way Saint Louis MO 63128-3527 |
| Practice Telephone | 3148437388 |
| Practice Fax Number | 3148496607 |
| Mailing Telephone | 3148437388 |
| Mailing Fax Number | 3148496607 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | JUDY EVON SIMPSON (PRESIDENT) |
| Authorized Official Telephone | 3148437388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
4652 MEDALTON WAY |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| 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 |
|---|---|---|---|---|
| 1649723081 | St. Louis Project Club | Day Training, Developmentally Disabled Services | 3662 S Broadway S, Saint Louis, MO 63118-4045 | 2016-08-02 |
| 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 |
| 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 | 63128 |
Please comment or provide details below to improve the information on PATHWAYS-HOMES FOR EXCEPTIONAL PERSONS.
| 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.