Community Residential Supportive Living in Saint Louis - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Community Residential Supportive Living - NPI 1295907921
Community Residential Supportive Living is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Saint Louis, Missouri. Community Residential Supportive Living practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Community Residential Supportive Living is 1295907921. The last update date is 2008-04-02.
Community Residential Supportive Living's current location address is 1026 Villa St.cyr, Saint Louis, Missouri. You can contact this provider via phone number 3148691977 and fax number 3148691977. The mailing address for Community Residential Supportive Living is 1026 Villa St.cyr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Residential Supportive Living |
|---|---|
| Address | 1026 Villa St.cyr, Saint Louis, Missouri |
| Phone Number | 3148691977 |
| Fax Number | 3148691977 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECT SUP |
|---|---|
| Authorized Official Name | Gillespie Monica |
| Telephone Number | 3148691977 |
NPI Number Detail
| NPI Number | 1295907921 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 1026 Villa St.cyr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 63137 |
| Phone Number | 3148691977 |
| Fax Number | 3148691977 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique identification code assigned to Community Residential Supportive Living by the Centers for Medicare & Medicaid Services?
The Community Residential Supportive Living has been issued the NPI (National Provider Identifier) 1295907921. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Community Residential Supportive Living is physically located?
The Community Residential Supportive Living is situated at the following address: 1026 Villa St.Cyr, Saint Louis, MO 63137.
What is Community Residential Supportive Living's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Community Residential Supportive Living is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
When did the Community Residential Supportive Living receive its 1295907921?
The Community Residential Supportive Living was issued its 1295907921 on 2008-04-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Community Residential Supportive Living most recently updated or revised?
The information pertaining to Community Residential Supportive Living, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-02.