ST LOUIS ARC


Address: 1228 Dautel, St Louis, MO 63146
Phone: 3145692211

ST LOUIS ARC (NPI# 1841460623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841460623
Entity Type Organization
Organization Name ST LOUIS ARC
Practice Address 1228 Dautel
St Louis
MO 63146
Mailing Address 1816 Lackland Hill Pkwy
Saint Louis
MO 63146-3507
Practice Telephone 3145692211
Mailing Telephone 3145692211
Mailing Fax Number 3145690778
Enumeration Date 2008-03-07
Last Update Date 2008-03-07
Authorized Official Name KATHLEEN TISONE (VP OF OPERATIONS, CFO)
Authorized Official Telephone 3145692211
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MO 856274709 05

Office Location

Street Address 1228 DAUTEL
City ST LOUIS
State MO
Zip Code 63146

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1144883893 Tylians T Smith Physical Therapy Assistant 12544 Fee Fee Rd, Saint Louis, MO 63146 2019-04-18
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1043702897 Equal Shares Parenting, LLC Marriage & Family Therapist 10313 Corbeil Dr., Unit D, St. Louis, MO 63146 2018-06-06
1588189930 Anita Shawke Physical Therapist 11960 Westline Industrial Drive, Suite 201, St. Louis, MO 63146 2017-08-07
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003062936 Agape Counseling Service Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4144 Lindell Blvd, Suite 402, St Louis, MO 63108 2008-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609475516 Brandi Janelle Hickman Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 2020-10-21
1154935112 Overcomers Counseling Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17101 East 203rd St, Peculiar, MO 64078 2020-09-06
1386265965 Candace Palmer Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2405 Bowe Ln, Jefferson City, MO 65109-9116 2020-05-05
1902426596 Matt Ferguson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4480 Bradley Dr, Joplin, MO 64804-5503 2020-04-23
1689206211 Insight Industry LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 2020-02-11
1598306904 Hearo Technologies LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 2019-10-07
1437790219 Darin Roark Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 2019-10-03
1942851399 Wyatt's Dream Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 205 State Highway Aa, Sikeston, MO 63801-5303 2019-09-26
1043871908 Cura Personalis, (care for The Whole Person), LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11650 Bobwhite Road, Carthage, MO 64836 2019-06-21
1043870181 Rebuild Contracting LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 2019-06-20
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City ST LOUIS
Zip Code 63146

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Dataset Information

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.

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