Provider Demographics
NPI:1295371904
Name:WE IMPACT PEOPLE'S ENVIRONMENT AND DEVELOPMENT INC
Entity type:Organization
Organization Name:WE IMPACT PEOPLE'S ENVIRONMENT AND DEVELOPMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHRON
Authorized Official - Middle Name:
Authorized Official - Last Name:VAULX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-403-2297
Mailing Address - Street 1:23 N OAKS PLZ STE 275
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-2994
Mailing Address - Country:US
Mailing Address - Phone:314-403-2297
Mailing Address - Fax:314-499-8331
Practice Address - Street 1:23 N OAKS PLZ STE 258
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-2996
Practice Address - Country:US
Practice Address - Phone:314-884-8671
Practice Address - Fax:314-499-8331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child