Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Judevine, Inc

Organization Developmentally Disabled Services Day Training Agency · NPI 1518291418

Judevine, Inc is a Developmentally Disabled Services Day Training Agency in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1810 Craig Rd Ste 109
Saint Louis, MO 63146-4758
Phone: (800) 780-6545
Fax: (888) 507-4453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence ER019910064 (MO)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence ER019910064 (MO)
Early Intervention Provider Agency Taxonomy 252Y00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1518291418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Blackwell — President/Director · (800) 780-6545
Other names Judevine Center For Autism
NPI enumeratedSeptember 24, 2009
Last updated in NPPESJanuary 7, 2015
Mailing address1810 Craig Rd Ste 109, Saint Louis, MO 63146-4758

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