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Independence Center

Mental Illness Community Based Residential Treatment Facility in Saint Louis, MO · enumerated 2007 · authorized official Patricia Holmes, Exectuve Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174669006

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Registry record

Entity type Organization (Type 2)
Legal business name Independence Center
Other name <Unavail>
Practice address 2443 Prouhet Ave, Saint Louis, MO, 63114
Fax (314) 890-7133
Enumeration date Jan 29, 2007
Last updated in NPPES Jun 27, 2022

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License 030777 (MO) Primary

Authorized official

Name Patricia Holmes
Title Exectuve Director

Other identifiers

Identifier Type State Issuer
267727600 Medicaid MO -

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.

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Frequently asked questions

What is the NPI number for Independence Center?
The NPI for Independence Center is 1174669006, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Independence Center?
NPPES lists Patricia Holmes (Exectuve Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-27.