SUPERIOR PARK
NPI 1295922458
Community Based Residential Treatment Facility, Mental Illness in Excelsior Springs, MO

Active since October 01, 2007
410 SUPERIOR, EXCELSIOR SPRINGS, MO 64024(816) 630-3177(816) 630-6100 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Superior Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPERIOR PARK (NPI 1295922458) is a healthcare organization registered as a community based residential treatment facility, mental illness in Excelsior Springs, Missouri and active in the NPI registry since October 2007. The organization lists Thomas A Walker, President Dst Inc & Administrator, as its authorized official.

NPPES Registry Identity

NPI1295922458
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameDST INC
Location Address410 SUPERIORExcelsior Springs, MO 64024
Mailing AddressPo Box 126, 410 SuperiorExcelsior Springs, MO 64024 · (816) 630-3177 · Fax (816) 630-6100
Fax(816) 630-6100
Organization SubpartNo
Authorized OfficialThomas A WalkerPresident Dst Inc & Administrator · (816) 630-3177
Enumeration DateOctober 1, 2007
Last NPPES UpdateJune 30, 2008
NPI 1295922458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in MO · 035519
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X · License 033231 (MO)
410 SUPERIOR, Excelsior Springs, MO 64024

Other Names 1

Doing Business AsSuperior Park

Other Identifiers 1

Medicaid268002409MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dst Inc's NPI number?

The NPI number for Dst Inc is 1295922458. It was assigned to this organization in the NPPES registry on October 1, 2007. The provider is doing business as Superior Park.

Where is Dst Inc located?

Dst Inc is located at 410 Superior, Excelsior Springs, MO 64024. The listed phone number is (816) 630-3177.

What is Dst Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Dst Inc was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.