DST INC NPI 1295922458

NPI Information

  • NPI: 1295922458
  • Provider Name: DST INC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: SUPERIOR PARK
  • Address: 410 SUPERIOR
    EXCELSIOR SPRINGS, MO
    ZIP 64024
  • Phone: (816) 630-3177

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NPI Details

DST INC is a community based residential treatment facility mental illness in Excelsior Springs, MO. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DST INC NPI is 1295922458. The provider is registered as an organization entity type.
The provider Is Doing Business As Superior Park.

The provider's business location address is:

410 SUPERIOR
EXCELSIOR SPRINGS, MO
ZIP 64024
Phone: (816) 630-3177
Fax: (816) 630-6100

The provider's authorized official is Thomas A Walker .
The authorized official title is President Dst Inc & Administrator and has the following contact phone number (816) 630-3177.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 6/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness033231MISSOURINo
2320800000XCommunity Based Residential Treatment Facility, Mental Illness035519MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1268002409MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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