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CELEBRATIONPOINTE NPI 1568010346


NPI Information

NPI: 1568010346
Provider Name: CELEBRATIONPOINTE

Doing Business As: THE COMMUNITY COUNSELING AND HOUSING SERVICES

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
6110 HOWDERSHELL RD
HAZELWOOD, MO
ZIP 63042
Phone: (314) 580-3029
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CELEBRATIONPOINTE is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Hazelwood, MO. CELEBRATIONPOINTE NPI is 1568010346. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Community Counseling And Housing Services.

The provider's business location address is:

6110 HOWDERSHELL RD
HAZELWOOD, MO
ZIP 63042-170
Phone: (314) 580-3029

The provider's authorized official is Marvin Shelton .
The authorized official title is Ceo and has the following contact phone number (314) 580-3029.

The enumeration date for this NPI number is 8/26/2019 and was last updated on 4/17/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2207R00000XInternal MedicineNo
32083S0010XPreventive MedicineSports MedicineNo
42084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6261QP2300XClinic/CenterPrimary CareNo
7261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
8261QX0100XClinic/CenterOccupational MedicineNo
93104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
10320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
113245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
12261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500075300MEDICAIDMISSOURI

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: 4/28/2024

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