COMMUNITY RESIDENTIAL SUPPORTIVE LIVING (NPI# 1295907921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295907921 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESIDENTIAL SUPPORTIVE LIVING |
| Practice Address |
1026 Villa St.cyr Saint Louis MO 63137 |
| Practice Telephone | 3148691977 |
| Practice Fax Number | 3148691977 |
| Mailing Telephone | 3148691977 |
| Mailing Fax Number | 3148691977 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | MONICA GILLESPIE (DIRECT SUPPORT PROFESSIONAL) |
| Authorized Official Telephone | 3148691977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1026 VILLA ST.CYR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053801282 | Carestl Health | Clinic/Center | 1218 Shepley Dr, Saint Louis, MO 63137 | 2018-05-14 |
| 1598282220 | Morgan Hill of Health, LLC | Home Health | 100 Rue Saint Francois St., Suite 112, Florissant, MO 63137 | 2017-08-23 |
| 1922520394 | Ivorie D Chambers | Psychologist | 10439 Gardo Court, Saint Louis, MO 63137 | 2017-07-07 |
| 1386020071 | Kimberly Doris Compton | Counselor | 10225 Trio Ln, Saint Louis, MO 63137 | 2015-08-04 |
| 1992035810 | Absolute Home Care Services Inc. | Home Health | 1175 Chambers, St. Louis, MO 63137 | 2009-12-29 |
| 1992030027 | Tiffany M Pargo | Counselor | 10514 Byfield Dr, Saint Louis, MO 63137 | 2009-10-07 |
| 1578605606 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 10074 Toelle Lane, St. Louis, MO 63137 | 2007-02-13 |
| 1346759164 | Healing Hands Homecare and Counseling Services LLC | Homemaker | 10439 Gardo Ct, Saint Louis, MO 63137 | 2017-09-25 |
| 1265964464 | Full Circle Home Health Services LLC | Home Health | 9112 Jordan St, Saint Louis, MO 63137-1014 | 2017-03-28 |
| 1891154357 | Marilyn's Daughters In Home Healthcare, LLC | Home Health | 1208 La Rue Ct, Saint Louis, MO 63137-1121 | 2016-02-12 |
| Find all providers in zip 63137 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588108336 | Wright Way Residential Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2115 Allen Ave, Apt A, Saint Louis, MO 63104-2630 | 2016-12-13 |
| 1952768889 | Living With Purpose | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3919 N 19th St, Saint Louis, MO 63107-2816 | 2016-01-22 |
| 1154788156 | Promise Mobility LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5 S Newstead Ave, Saint Louis, MO 63108-2213 | 2016-01-21 |
| 1013334622 | Ebony Wilson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3514 Blair Ave, Saint Louis, MO 63107-3717 | 2014-03-20 |
| 1871914515 | Donald Scales | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8543 Jane Ave, Saint Louis, MO 63121-4309 | 2013-12-24 |
| 1609218593 | Young Mens Christian Association of Greater St Louis | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1528 Locust St, Saint Louis, MO 63103-1816 | 2013-07-22 |
| 1467894535 | Sun Valley Adult Care Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Saint Cyr Rd, Saint Louis, MO 63137-1733 | 2013-07-18 |
| 1477802957 | Phillips Professional Home Health Service | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8456 A Page Ave, Saint Louis, MO 63130-1055 | 2012-08-30 |
| 1013283373 | Mers/missouri Goodwill Industries | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1727 Locust St, Saint Louis, MO 63103-1703 | 2012-03-30 |
| 1720359961 | Bethesda Lutheran Communities Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5122 Amberglow Dr, Saint Louis, MO 63129-3204 | 2012-01-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63137 |
Please comment or provide details below to improve the information on COMMUNITY RESIDENTIAL SUPPORTIVE LIVING.
| 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.