MCCB TRANSITIONS, INC. (NPI# 1366646481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366646481 |
| Entity Type | Organization |
| Organization Name | MCCB TRANSITIONS, INC. |
| Practice Address |
4110 Saint Louis Ave Saint Louis MO 63115-3218 |
| Mailing Address |
4114 Saint Louis Ave Saint Louis MO 63115-3218 |
| Practice Telephone | 3143711657 |
| Practice Fax Number | 3143714333 |
| Mailing Telephone | 3143711657 |
| Mailing Fax Number | 3143714333 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY BARFIELD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3143711657 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MO | Residential Treatment Facilities | |
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396863031 | Mccb Transitions, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4110 Saint Louis Ave, Saint Louis, MO 63115-3218 | 2007-03-27 |
| 1861665846 | Mccb Transitions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4110 Saint Louis Ave, Saint Louis, MO 63115-3218 | 2008-04-10 |
| Street Address |
4110 SAINT LOUIS AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63115-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396863031 | Mccb Transitions, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4110 Saint Louis Ave, Saint Louis, MO 63115-3218 | 2007-03-27 |
| 1861665846 | Mccb Transitions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4110 Saint Louis Ave, Saint Louis, MO 63115-3218 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871023002 | Joshua Kamau Njenga | Nurse Practitioner | 4412 Clarence Avenue, Saint Louis, MO 63115 | 2017-06-20 |
| 1417409178 | Carestl Health | Clinic/Center | 4265 Athlone Ave, Saint Louis, MO 63115 | 2016-10-28 |
| 1366806051 | Samar Roberson | Home Health | 4307 Steinlage Dr, Saint Louis, MO 63115 | 2016-04-08 |
| 1033376884 | Cornell C Thomas | Dentist | 3737 N Kings Highway, Suite 108, St Louis, MO 63115 | 2008-05-20 |
| 1033617386 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115 | 2018-01-31 |
| 1023466984 | Carestl Health #4 | Durable Medical Equipment & Medical Supplies | 4500 Pope Ave, Saint Louis, MO 63115 | 2016-06-01 |
| 1164621538 | The Learning Tree Intergenerational Center Inc | Clinic/Center | 4430 Labadie Ave, St Louis, MO 63115 | 2007-07-16 |
| 1790845196 | Saint Louis Renal Care, LLC | Clinic/Center | 4411 N Newstead Ave, 2nd Floor, Saint Louis, MO 63115 | 2006-12-08 |
| 1245721331 | Paul Anthony Matthews Sr. | Home Health Aide | 5165 Ashland Ave, Saint Louis, MO 63115-1014 | 2018-05-23 |
| 1952946857 | Tiffany Nicole Stewart | Home Health | 5116 Greer Ave, Saint Louis, MO 63115-1017 | 2019-11-14 |
| Find all providers in zip 63115 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1922358423 | Smiley Manor | Community Based Residential Treatment Facility, Mental Illness | 5415 Thekla, Saint Louis, MO 63120 | 2012-09-12 |
| 1184811101 | Frasat LLC | Community Based Residential Treatment Facility, Mental Illness | 3715 Saint Anns Ln, Saint Louis, MO 63121-4813 | 2007-10-03 |
| 1922298777 | Oasis Residential Care Inc | Community Based Residential Treatment Facility, Mental Illness | 5626 Maffitt Ave, Saint Louis, MO 63112-4010 | 2007-07-27 |
| 1881806743 | Oasis Residential Care Inc | Community Based Residential Treatment Facility, Mental Illness | 3508 Prairie Ave, Saint Louis, MO 63107-2214 | 2007-05-04 |
| 1396863031 | Mccb Transitions, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4110 Saint Louis Ave, Saint Louis, MO 63115-3218 | 2007-03-27 |
| 1174669006 | Independence Center | Community Based Residential Treatment Facility, Mental Illness | 2443 Prouhet Ave, Saint Louis, MO 63114-1946 | 2007-01-29 |
| 1780720680 | Independence Center | Community Based Residential Treatment Facility, Mental Illness | 19 N Newstead Ave, Saint Louis, MO 63108-2260 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720642010 | Southview Health Care, LLC. | Community Based Residential Treatment Facility, Mental Illness | 951 Creamery Rd, West Plains, MO 65775-6052 | 2019-04-23 |
| 1902369663 | Anna Dodson Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4616 Hwy D, Farmington, MO 63640-7241 | 2019-04-10 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1467919233 | Ted-lea, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9444 Midland Blvd, Overland, MO 63114-3328 | 2019-02-27 |
| 1639633290 | Synergy Executive, LLC | Community Based Residential Treatment Facility, Mental Illness | 2608 Smyrna Rd, Ozark, MO 65721-7674 | 2019-01-29 |
| 1467958553 | Swope Health Services | Community Based Residential Treatment Facility, Mental Illness | 2614 Benton Blvd, Kansas City, MO 64127-4149 | 2018-04-05 |
| 1053827964 | Dianas Boarding Home Inc | Community Based Residential Treatment Facility, Mental Illness | Hc 64, Box 4683, Marble Hill, MO 63764 | 2017-12-15 |
| 1689098188 | Venus Independent Living LLC | Community Based Residential Treatment Facility, Mental Illness | 301 S Coffey St, Vienna, MO 65582-8862 | 2014-02-05 |
| 1699108381 | Sunny Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 134 Gray St, Festus, MO 63028-1949 | 2013-08-16 |
| 1902167067 | Support Professionals II | Community Based Residential Treatment Facility, Mental Illness | 8540 Blue Ridge, Kansas City, MO 64138 | 2012-06-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63115 |
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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.