Provider Demographics
NPI: | 1861668212 |
---|---|
Name: | ACCION SOCIAL COMUNITARIA / HISPANIC LATINO COMMUNITY SOCIAL |
Entity Type: | Organization |
Organization Name: | ACCION SOCIAL COMUNITARIA / HISPANIC LATINO COMMUNITY SOCIAL |
Other - Org Name: | ASC-CARES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | CELSO |
Authorized Official - Middle Name: | WILLIAM |
Authorized Official - Last Name: | CHIGNOLI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MDIV |
Authorized Official - Phone: | 314-752-2272 |
Mailing Address - Street 1: | 8764 MANCHESTER RD |
Mailing Address - Street 2: | SUITE 205 |
Mailing Address - City: | SAINT LOUIS |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 63144-2735 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 314-752-2272 |
Mailing Address - Fax: | 314-752-8272 |
Practice Address - Street 1: | 8764 MANCHESTER RD |
Practice Address - Street 2: | SUITE 205 |
Practice Address - City: | SAINT LOUIS |
Practice Address - State: | MO |
Practice Address - Zip Code: | 63144-2735 |
Practice Address - Country: | US |
Practice Address - Phone: | 314-752-2272 |
Practice Address - Fax: | 314-752-8272 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-05-06 |
Last Update Date: | 2008-11-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251V00000X | Agencies | Voluntary or Charitable | Group - Multi-Specialty | |
No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | Group - Multi-Specialty |
No | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education | Group - Multi-Specialty |
No | 136A00000X | Dietary & Nutritional Service Providers | Dietetic Technician, Registered | Group - Multi-Specialty | |
No | 152W00000X | Eye and Vision Services Providers | Optometrist | Group - Multi-Specialty | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
No | 171R00000X | Other Service Providers | Interpreter | Group - Multi-Specialty | |
No | 207KI0005X | Allopathic & Osteopathic Physicians | Allergy & Immunology | Clinical & Laboratory Immunology | Group - Multi-Specialty |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
No | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 2279G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | General Care | Group - Multi-Specialty |
No | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | Group - Multi-Specialty | |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty |