MAGDALA FOUNDATION (NPI# 1962576033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962576033 |
| Entity Type | Organization |
| Organization Name | MAGDALA FOUNDATION |
| Practice Address |
4158 Lindell Blvd Saint Louis MO 63108-2914 |
| Practice Telephone | 3146526004 |
| Practice Fax Number | 3146528351 |
| Mailing Telephone | 3146526004 |
| Mailing Fax Number | 3146528351 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | MR. DAVID J. MEYER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3146526004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2452, 1460-7235 | MO | Residential Treatment Facilities |
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | MO | Nursing & Custodial Care Facilities | |
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | MO | Nursing & Custodial Care Facilities | |
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | MO | Nursing & Custodial Care Facilities | |
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | MO | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073771358 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 3117 Maury Ave, Saint Louis, MO 63116-2021 | 2008-05-23 |
| 1619135985 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 7400 Augusta Ave, Saint Louis, MO 63121-4802 | 2008-05-23 |
| 1255599528 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 4242 Russell Blvd, Saint Louis, MO 63110-3511 | 2008-05-23 |
| 1619135993 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 3900 Canterbury Dr, Saint Louis, MO 63121-2500 | 2008-05-23 |
| Street Address |
4158 LINDELL BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649332784 | Donald Joseph Wahl | Counselor | 4158 Lindell Blvd, Saint Louis, MO 63108-2914 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073771358 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 3117 Maury Ave, Saint Louis, MO 63116-2021 | 2008-05-23 |
| 1619135985 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 7400 Augusta Ave, Saint Louis, MO 63121-4802 | 2008-05-23 |
| 1255599528 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 4242 Russell Blvd, Saint Louis, MO 63110-3511 | 2008-05-23 |
| 1619135993 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 3900 Canterbury Dr, Saint Louis, MO 63121-2500 | 2008-05-23 |
| 1376667469 | Focus On Residential Services Dba Lafayette Habilitation Center | Intermediate Care Facility, Mentally Retarded | 2701 Henrietta St, Saint Louis, MO 63104-2007 | 2007-03-16 |
| 1770866030 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 10695 Bellefontaine Rd, Saint Louis, MO 63137-2315 | 2011-09-23 |
| 1194933499 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 2312 Lemay Ferry Rd, Saint Louis, MO 63125-3127 | 2007-05-18 |
| 1760553101 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 10695 Bellefontaine Rd, Saint Louis, MO 63137-2315 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699213603 | Equilibrium Homes of St. Louis LLC | Intermediate Care Facility, Mentally Retarded | 3054 Sir Christopher Ln, Florissant, MO 63033-3114 | 2017-02-09 |
| 1164657664 | Caring Hands LLC | Intermediate Care Facility, Mentally Retarded | 2832 558th Rd, Albany, MO 64402-8138 | 2009-05-27 |
| 1477788966 | Loving Orchards Homes | Intermediate Care Facility, Mentally Retarded | 1400 Sw Merryman Dr, Lees Summit, MO 64082-3906 | 2009-05-27 |
| 1164630463 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 11 Brady Cir, Overland, MO 63114-1110 | 2007-05-18 |
| 1336273069 | Manor Home | Intermediate Care Facility, Mentally Retarded | 107 Nanette St, Belton, MO 64012-3032 | 2007-03-15 |
| 1760557763 | Cameron Group Care, Inc | Intermediate Care Facility, Mentally Retarded | 625 Harris Ln, Cameron, MO 64429-1121 | 2006-11-22 |
| 1861563298 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 700 E Slater St, Marshall, MO 65340-1240 | 2006-11-09 |
| 1598844029 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 112 Plaza Dr, Sikeston, MO 63801-5137 | 2006-11-03 |
| 1083073498 | Dillahunt Enterprises, LLC | Intermediate Care Facility, Mentally Retarded | 4300 Royal Aberdeen St, Columbia, MO 65203-4810 | 2016-02-12 |
| 1841452109 | Evergreen Group Home | Intermediate Care Facility, Mentally Retarded | 27 Hopper Trl, Urbana, MO 65767-9234 | 2008-06-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
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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.