Unknown Individual – Mental Illness Community Based Residential Treatment Facility, NPI 1013186949

Unknown Individual is a healthcare provider. based in East saint louis, Illinois. specializing in Mental Illness Community Based Residential Treatment Facility. The NPI Number for Unknown Individual is 1013186949

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013186949
Phone
(618) 482-7330
Address
505 S 8TH ST
Deactivation Date
21 September 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 505, 8th Street, Valley Park, Saint Louis County, Missouri, 63088, United States

    EAST SAINT LOUIS, IL 622012919

    Phone: (618) 482-7330

    Fax: (618) 482-4351

    Type: Mailing

  • 1414, Russell Avenue, East Saint Louis, Saint Clair County, Illinois, 62207, United States

    EAST ST. LOUIS, IL 622052025

    Phone: (618) 482-7330

    Fax: (618) 482-4351

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62201)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1013186949 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Mental Illness Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with East Saint Louis?
Public fields place Unknown Individual around East Saint Louis, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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