Judevine Center For Autism
LBN: Judevine, Inc.
Judevine Center For Autism is an health care organization with primary practice located at 1810 Craig Rd Ste 109 , Saint Louis MO 63146-4758. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Agencies / In Home Supportive Care, 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.
Judevine, Inc. can be contacted via phone (800) 780-6545, or through Blackwell, Rebecca via phone (800) 780-6545.
Contact Information
Primary practice address
1810 Craig Rd Ste 109
Saint Louis MO 63146-4758
Phone: (800) 780-6545
Fax: (888) 507-4453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ER019910064 | Missouri |
| Agencies / Early Intervention Provider Agency | 252Y00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | ER019910064 | Missouri |
Profile Details
| NPI number | 1518291418 |
|---|---|
| LBN Legal business name | Judevine, Inc. |
| DBA Doing business as | Judevine Center For Autism |
| Authorized official | Blackwell, Rebecca MA, BCBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 24th, 2009 |
| Last updated | Jan 7th, 2015 - about 10 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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