Provider Plus, Inc
Provider Plus, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2005.
- Licensed in
- MO
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7748 Watson RdSaint Louis, MO 63119-5407
Phone: (314) 961-8500
Fax: (314) 963-6801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oxygen Equipment & Supplies (DME) (primary) | Taxonomy 332BX2000X (MO) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X (MO) |
Record details
| NPI number | 1528069309 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendy Russalesi — Cco · (484) 246-9499 |
| NPI enumerated | August 3, 2005 |
| Last updated in NPPES | October 15, 2025 |
| Certification date | October 15, 2025 |
| Mailing address | 555 E North Ln Ste 5075, Conshohocken, PA 19428-2490 |
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