CHEROKEE RESIDENTIAL CARE LLC (NPI# 1003083155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003083155 |
| Entity Type | Organization |
| Organization Name | CHEROKEE RESIDENTIAL CARE LLC |
| Other Organization Name | NEW HEIGHTS RESIDENTIAL CARE |
| Practice Address |
3409 Missouri Ave Saint Louis MO 63118 |
| Practice Telephone | 3143683247 |
| Practice Fax Number | 3147711377 |
| Mailing Telephone | 3143683247 |
| Mailing Fax Number | 3147711377 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | MR. GREGORY RANDAL GETTMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3143683247 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
034514 | MO | Nursing & Custodial Care Facilities |
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
042586 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 266735109 | 05 |
| Other Name | Type Code |
|---|---|
| New Heights Residential Care | Doing Business As Name - Organization |
| Street Address |
3409 MISSOURI AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699895615 | Senior Residential, LLC | Custodial Care Facility | 3409 Missouri Ave, Saint Louis, MO 63118-3236 | 2007-03-31 |
| 1730568874 | Cherokee Residential Care Acquisition, LLC | Assisted Living Facility | 3409 Missouri Ave, Saint Louis, MO 63118-3236 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356919 | Cardinal Ritter Institute-resident Services Corp | Assisted Living Facility | 5890 Eichelberger St, Saint Louis, MO 63109-3454 | 2020-11-02 |
| 1790343804 | Calvin Akins | Assisted Living Facility | 4432 W Belle Pl, Saint Louis, MO 63108-2617 | 2019-06-04 |
| 1073079091 | Homes That Care Co. | Assisted Living Facility | 4144 Lindell Blvd Ste 312, Saint Louis, MO 63108-2953 | 2019-02-14 |
| 1659759983 | Tlc Healthcare | Assisted Living Facility | 5421 Vernon Ave, Saint Louis, MO 63112-3313 | 2015-05-06 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1508113549 | We Do That, LLC | Assisted Living Facility | 5261 Delmar Blvd Ste 216, Saint Louis, MO 63108-1013 | 2012-08-09 |
| 1356618128 | Sga Properties LLC | Assisted Living Facility | 3922 Delmar Blvd, Saint Louis, MO 63108-3502 | 2011-11-22 |
| 1326235664 | Saddler Residential Care Facility, Inc. | Assisted Living Facility | 730 Hodiamont Ave, Saint Louis, MO 63112-2002 | 2007-10-01 |
| 1083732929 | Wilbar Boarding Home Inc. | Assisted Living Facility | 4337 Maryland Ave, Saint Louis, MO 63108-2703 | 2007-03-27 |
| 1841318193 | Allways Kare Residential Facility, Inc | Assisted Living Facility | 5076 Waterman Blvd, Saint Louis, MO 63108-1102 | 2007-03-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on CHEROKEE RESIDENTIAL CARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.