Superior Park
LBN: Dst Inc
Superior Park is an health care organization with primary practice located at 410 Superior , Excelsior Springs MO 64024. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty.
Dst Inc can be contacted via phone (816) 630-3177, or through Walker, Thomas A via phone (816) 630-3177.
Contact Information
Primary practice address
410 Superior
Excelsior Springs MO 64024
Phone: (816) 630-3177
Fax: (816) 630-6100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | 033231 | Missouri |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 035519 | Missouri |
Profile Details
| NPI number | 1295922458 |
|---|---|
| LBN Legal business name | Dst Inc |
| DBA Doing business as | Superior Park |
| Authorized official | Walker, Thomas A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 1st, 2007 |
| Last updated | Jun 30th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295922458 | NPPES |
| Missouri | MEDICAID | 268002409 |
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