Independence Center
Independence Center is a healthcare organization registered as Mental Illness Community Based Residential Treatment Facility in Saint Louis, MO, holding Type 2 (organization) NPI 1174669006 since 2007. The authorized official on file is Patricia Holmes, Exectuve Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174669006 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Independence Center |
| Other name | <Unavail> |
| Practice address | 2443 PROUHET AVE, Saint Louis, MO, 63114 |
| Phone | 3148907100 |
| Fax | 3148907133 |
| Enumeration date | 2007-01-29 |
| Last updated in NPPES | 2022-06-27 |
Authorized official
| Name | Patricia Holmes |
|---|---|
| Title | Exectuve Director |
| Phone | 3148805415 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320800000X | Mental Illness Community Based Residential Treatment Facility | Primary | 030777 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267727600 | Medicaid | MO | — |
Copy-ready billing details
Provider: Independence Center NPI: 1174669006 Taxonomy: 320800000X (Mental Illness Community Based Residential Treatment Facility) Address: 2443 PROUHET AVE, Saint Louis, MO, 63114
Verify this record
Cross-check NPI 1174669006 against the authoritative CMS record: view Independence Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Independence Center?
Who is the authorized official for Independence Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-27.