St. Louis Arc in Hazelwood - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
St. Louis Arc - NPI 1669658910
St. Louis Arc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Hazelwood, Missouri. St. Louis Arc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for St. Louis Arc is 1669658910. The last update date is 2012-06-12.
St. Louis Arc's current location address is 714 Carriage Ln, Hazelwood, Missouri. You can contact this provider via phone number 3148172207. The mailing address for St. Louis Arc is 714 Carriage Ln, Hazelwood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Louis Arc |
|---|---|
| Address | 714 Carriage Ln, Hazelwood, Missouri |
| Phone Number | 3148172207 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OPERATI |
|---|---|
| Authorized Official Name | Tisone Anne Kathleen |
| Telephone Number | 3148172207 |
NPI Number Detail
| NPI Number | 1669658910 |
|---|---|
| Provider Enumeration Date | 2008-01-17 |
| Last Updated Date | 2012-06-12 |
Provider Mailing Address Detail
| Address | 714 Carriage Ln |
|---|---|
| City | Hazelwood |
| State | Missouri (MO) |
| Post Code | 630423452 |
| Phone Number | 3148172207 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 103091 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 852998301 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to St. Louis Arc by the Centers for Medicare & Medicaid Services?
The St. Louis Arc has been issued the NPI (National Provider Identifier) 1669658910 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the St. Louis Arc's physical address?
The St. Louis Arc is physically located at 714 Carriage Ln, in the city of Hazelwood, MO, with the postal code 630423452.
What is the area of specialization for St. Louis Arc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for St. Louis Arc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669658910 to St. Louis Arc?
The St. Louis Arc received its 1669658910 assignment from the Centers for Medicare & Medicaid Services on 2008-01-17.
When was the information regarding St. Louis Arc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to St. Louis Arc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-12.
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