CARESTL HEALTH (NPI# 1306059654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306059654 |
| Entity Type | Organization |
| Organization Name | CARESTL HEALTH |
| Practice Address |
5471 Dr Martin Luther King Dr St Louis MO 63112 |
| Mailing Address |
5471 Dr Martin Luther King Dr St Louis MO 63112-4265 |
| Practice Telephone | 3143675820 |
| Practice Fax Number | 3143677010 |
| Mailing Telephone | 3143675820 |
| Mailing Fax Number | 3143677010 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | MRS. ANGELA RENEE CLABON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3143675820 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
519 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 700622913 | 05 | |
| MO | CLIA | 26DO438768 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704220 | Carestl Health | Clinic/Center | 3312 Ashby Rd, Saint Ann, MO 63074-3529 | 2019-01-14 |
| 1053801282 | Carestl Health | Clinic/Center | 1218 Shepley Dr, Saint Louis, MO 63137 | 2018-05-14 |
| 1821517319 | Carestl Health | Clinic/Center | 3921 N. Newstead Ave, Saint Louis, MO 63115-2748 | 2017-09-15 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| 1417409178 | Carestl Health | Clinic/Center | 4265 Athlone Ave, Saint Louis, MO 63115 | 2016-10-28 |
| 1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
| 1609245448 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115-2512 | 2015-09-23 |
| 1730221664 | Carestl Health | Clinical Medical Laboratory | 2425 Whittier, St Louis, MO 63113 | 2007-02-14 |
| 1568504488 | Carestl Health | Clinical Medical Laboratory | 5541 Riverview Bld, St Louis, MO 63120 | 2007-02-14 |
| 1972596088 | Carestl Health | Clinic/Center | 5471 Dr. Martin Luther King, Saint Louis, MO 63112-4265 | 2005-08-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARESTL HEALTH | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 |
| Street Address |
5471 DR MARTIN LUTHER KING DR |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342919 | Rashundala Ezelle Easter | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2005-08-04 |
| 1922265511 | Sheila Maria Williams | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2008-05-21 |
| 1528234978 | Audrey Robinson | Registered Nurse | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2008-05-06 |
| 1871767871 | Donna Genise Duncan | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2008-04-22 |
| 1194996041 | Flowerie L Terry | Social Worker | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2008-03-19 |
| 1548430184 | Amber Lee Strauch | Dental Hygienist | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2008-03-11 |
| 1932378551 | Carestl Health | Durable Medical Equipment & Medical Supplies | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2008-02-28 |
| 1902083223 | Mary A Williams | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2008-01-29 |
| 1427230598 | Barbara A Perkins | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2007-11-30 |
| 1750562559 | Dianne Marie Ranciville | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2007-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538377015 | People's Health Centers, Inc. | Clinic/Center | 5701 Delmar Blvd, St Louis, MO 63112-2617 | 2007-05-18 |
| 1578776829 | Carestl Health | Clinic/Center | 2425 Whittier, St Louis, MO 63113-2950 | 2007-05-07 |
| 1215140561 | Carestl Health | Clinic/Center | 4411 N Newstead Ave, St Louis, MO 63115-2534 | 2007-05-07 |
| 1124231477 | Carestl Health | Clinic/Center | 5541 Riverview Blvd, St Louis, MO 63120-2443 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
| 1467059980 | Valudental Independence LLC | Clinic/Center | 600 E Us Highway 24, Independence, MO 64050-2910 | 2020-10-07 |
| 1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
| 1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
| 1164033122 | Dental Depot of Blue Springs Pllc | Clinic/Center | 1500 S 7 Hwy, Blue Springs, MO 64014-3943 | 2020-08-13 |
| 1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
| 1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
| 1538622071 | Smile Safari of Missouri | Clinic/Center | 10016 E 63rd St, Raytown, MO 64133-5102 | 2019-04-11 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
| Find all providers with the same taxonomy | ||||
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| 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.