MISSOURI RESIDENTIAL CARE LLC (NPI# 1932369857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932369857 |
| Entity Type | Organization |
| Organization Name | MISSOURI RESIDENTIAL CARE LLC |
| Other Organization Name | CHATEAU ANN MARIE |
| Practice Address |
7700 Minnesota Ave Saint Louis MO 63111-3336 |
| Practice Telephone | 3144491497 |
| Practice Fax Number | 3144491614 |
| Mailing Telephone | 3144491497 |
| Mailing Fax Number | 3144491614 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | CHRISTOPHER M. VANCIL (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 3144491497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 032772 | MO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 266859602 | 05 | |
| MO | MO HEALTHNET | M266859602 | 01 |
| Other Name | Type Code |
|---|---|
| Chateau Ann Marie | Doing Business As Name - Organization |
| Street Address |
7700 MINNESOTA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63111-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740813542 | Diana Krauss | Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-02-20 |
| 1508499310 | Alexis Moody | Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-02-20 |
| 1588297394 | Tyler Howe | Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-02-20 |
| 1447883251 | Nakia Fields | Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-02-20 |
| 1386277192 | Grazyna Szachwis | Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-02-20 |
| 1245863067 | Jeanette Miller | Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-02-20 |
| 1376175851 | Daisy Matthews | Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-02-12 |
| 1043842545 | Peggy Ochs | Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-02-12 |
| 1356973846 | Stephenie Ratliff | Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-02-12 |
| 1376173120 | John Moody | Behavior Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
| 1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
| 1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
| 1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
| 1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
| 1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
| 1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| Find all providers in zip 63111 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407058894 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 5415 Thekla Ave, Saint Louis, MO 63120-2513 | 2007-06-05 |
| 1972705341 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 | 2007-06-05 |
| 1841446804 | Lakeside Center | Psychiatric Residential Treatment Facility | 13044 Marine Ave, Saint Louis, MO 63146-2118 | 2008-08-11 |
| 1487721379 | State of Missouri | Psychiatric Residential Treatment Facility | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618014 | R &r Residential Care LLC | Psychiatric Residential Treatment Facility | 17025 Old Jamestown Rd, Florissant, MO 63034-1414 | 2020-10-28 |
| 1336596832 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1268 Saint Paul Rd, Ballwin, MO 63021-8207 | 2016-05-16 |
| 1780043141 | Lisa Brown | Psychiatric Residential Treatment Facility | 5921 County Road 647, Hornersville, MO 63855-9811 | 2016-02-14 |
| 1073909511 | Weatherby & Associates, LLC | Psychiatric Residential Treatment Facility | 1323 N Washington St, Mexico, MO 65265-3352 | 2015-04-10 |
| 1073830139 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1260 St. Paul Road, St. Louis, MO 63021 | 2010-04-29 |
| 1003000571 | House of Care Center | Psychiatric Residential Treatment Facility | 3744 Benton Blvd, Kansas City, MO 64128-2515 | 2007-08-28 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1841347499 | Compass Health, Inc. | Psychiatric Residential Treatment Facility | 1032 Crosswinds Court, Wentzville, MO 63385 | 2007-01-05 |
| 1013096544 | State of Missouri | Psychiatric Residential Treatment Facility | 1025 N Sprigg St, Cape Girardeau, MO 63701-4831 | 2006-11-03 |
| 1720165327 | Lakeland Hospital Acquisition, LLC | Psychiatric Residential Treatment Facility | 440 South Market Ave, Springfield, MO 65806-2026 | 2006-11-01 |
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| City | SAINT LOUIS |
| Zip Code | 63111 |
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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.