EASTER SEALS MIDWEST
NPI 1417090374
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ballwin, MO

Active since February 14, 2007
1291 CLEARLAKE CRICLE, BALLWIN, MO 63011(314) 394-7100(314) 394-4007 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Easter Seals Midwest NPPES

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

EASTER SEALS MIDWEST (NPI 1417090374) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ballwin, Missouri and active in the NPI registry since February 2007. The organization lists John W. Adkins, Vice President, Cfo, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1417090374
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEASTER SEALS MIDWEST
Location Address1291 CLEARLAKE CRICLEBallwin, MO 63011
Mailing Address13545 Barrett Parkway Drive, Suite 300Ballwin, MO 63021 · (314) 394-7100 · Fax (314) 394-4007
Fax(314) 394-4007
Organization SubpartNo
Authorized OfficialJohn W. AdkinsVice President, Cfo · (314) 394-7100
Enumeration DateFebruary 14, 2007
Last NPPES UpdateFebruary 3, 2015
NPI 1417090374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1291 CLEARLAKE CRICLE, Ballwin, MO 63011

Other Identifiers 1

Medicaid857710909MO

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417090374, enumerated as an "organization" on February 14, 2007.

The provider is located at 1291 CLEARLAKE CRICLE BALLWIN, MO 63011 and the phone number is (314) 394-7100.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.