CALISTA E. MELKERSMAN (NPI# 1356662910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356662910 |
| Entity Type | Organization |
| Organization Name | CALISTA E. MELKERSMAN |
| Practice Address |
4635 Frankfort Ave Saint Louis MO 63123-5832 |
| Practice Telephone | 3144401352 |
| Mailing Telephone | 3144401352 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | MS. CALISTA ELIZABETH MELKERSMAN (OWNER) |
| Authorized Official Telephone | 3144401352 |
| 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 |
4635 FRANKFORT AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63123-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| 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 | 63123 |
Please comment or provide details below to improve the information on CALISTA E. MELKERSMAN.
| 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.