Healthcare Provider Details

I. General information

NPI: 1407918840
Provider Name (Legal Business Name): ADAPT-ABILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 10/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9355 DIELMAN INDUSTRIAL DR
SAINT LOUIS MO
63132-2212
US

IV. Provider business mailing address

9355 DIELMAN INDUSTRIAL DR
SAINT LOUIS MO
63132-2212
US

V. Phone/Fax

Practice location:
  • Phone: 314-432-1101
  • Fax: 314-432-0780
Mailing address:
  • Phone: 314-432-1101
  • Fax: 314-432-0780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBRA L GILLESPIE
Title or Position: EXECUTIVE DIRECTOR
Credential: OTR
Phone: 314-432-1101