ALEXIAN BROTHERS COMMUNITY SERVICES OF ST. LOUIS (NPI# 1912073206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912073206 |
| Entity Type | Organization |
| Organization Name | ALEXIAN BROTHERS COMMUNITY SERVICES OF ST. LOUIS |
| Practice Address |
3900 S Grand Blvd Saint Louis MO 63118-3414 |
| Practice Telephone | 3147715800 |
| Mailing Telephone | 3147715800 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN MULHEARN (CFO, ELDERLY SERVICES) |
| Authorized Official Telephone | 3147715800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Street Address |
3900 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733098 | Tj Pharmacy LLC | Pharmacy | 3900 S Grand Blvd, Saint Louis, MO 63118-3414 | 2019-04-11 |
| 1720342744 | Arneatrice Darnell Myers | Nurse Practitioner | 3900 S Grand Blvd, 3900 South Grand, Saint Louis, MO 63118-3414 | 2012-06-25 |
| 1912216441 | Alexian Brothers Comm Svcs Pharmacy | Pharmacy | 3900 S Grand Blvd, Saint Louis, MO 63118-3414 | 2010-10-01 |
| 1659500312 | Scott Martin Vouri | Pharmacist | 3900 S Grand Blvd, Saint Louis, MO 63118-3414 | 2009-07-02 |
| 1558546291 | Anndee Michele Glick | Nurse Practitioner | 3900 S Grand Blvd, Saint Louis, MO 63118-3414 | 2007-12-31 |
| 1447474622 | Christina Ann Traber | Nurse Practitioner | 3900 S Grand Blvd, Saint Louis, MO 63118-3414 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124358114 | Great Day Adult Daycare | PACE Provider Organization | 7091 Olive Blvd, Saint Louis, MO 63130-2347 | 2010-01-13 |
| 1881890671 | The Outreach Center of Christ The Savior | PACE Provider Organization | 3904 Delmar Blvd, Saint Louis, MO 63108-3502 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184283004 | Cfc Solutions Inc. | PACE Provider Organization | 6589 N Oak Trfy, Gladstone, MO 64118-3330 | 2019-06-13 |
| 1144595588 | Love Smiling Faces Adult Day Care, LLC | PACE Provider Organization | 9738 Lackland Rd, Overland, MO 63114-3424 | 2012-03-19 |
| 1508034117 | Sunshine Adult Day Care Facility | PACE Provider Organization | 6207 N Lindbergh Blvd, Hazelwood, MO 63042-2817 | 2008-02-16 |
| 1861622128 | Northeast Independent Living Services | PACE Provider Organization | 909 Broadway, Suite 350, Hannibal, MO 63401-4249 | 2009-07-21 |
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on ALEXIAN BROTHERS COMMUNITY SERVICES OF ST. LOUIS.
| 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.