Judevine Center For Autism

LBN: Easter Seals Midwest
Judevine Center For Autism is an health care organization with primary practice located at 13545 Barrett Pkwy Drive Suite 300, Ballwin MO 63021. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Easter Seals Midwest can be contacted via phone (314) 394-7100, or through Adkins, John W. via phone (314) 394-7100.

Contact Information

Primary practice address
13545 Barrett Pkwy Drive Suite 300 Ballwin MO 63021
Phone: (314) 394-7100
Fax: (314) 394-4007
Website:
Map and Directions
Authorized official contact:
Name: Adkins, John W.
Phone: (314) 394-7100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2205030351 Missouri
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 1999140934 Missouri
Behavioral Health & Social Service Providers / Social Worker 104100000X 001967 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2010005293 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2001015378 Missouri
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 118073 Missouri
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1871625582
LBN Legal business name Easter Seals Midwest
DBA Doing business as Judevine Center For Autism
Authorized official Adkins, John W.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Feb 3rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871625582 NPPES
Missouri MEDICAID 852794502

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