St. Louis Arc in Saint Louis - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
St. Louis Arc - NPI 1912183278
St. Louis Arc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Saint Louis, 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 1912183278. The last update date is 2008-01-17.
St. Louis Arc's current location address is 1816 Lackland Hill Pkwy, Saint Louis, Missouri. You can contact this provider via phone number 3145692211. The mailing address for St. Louis Arc is 1816 Lackland Hill Pkwy, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Louis Arc |
|---|---|
| Address | 1816 Lackland Hill Pkwy, Saint Louis, Missouri |
| Phone Number | 3145692211 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF OPER |
|---|---|
| Authorized Official Name | Tisone Anne Kathleen |
| Telephone Number | 3145692211 |
NPI Number Detail
| NPI Number | 1912183278 |
|---|---|
| Provider Enumeration Date | 2008-01-17 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 1816 Lackland Hill Pkwy |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631463507 |
| Phone Number | 3145692211 |
| 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 853004703 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to St. Louis Arc by the Centers for Medicare & Medicaid Services?
The St. Louis Arc has been assigned the NPI (National Provider Identifier) 1912183278 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where St. Louis Arc is physically located?
The St. Louis Arc is physically situated at the following address: 1816 Lackland Hill Pkwy, Saint Louis, MO, 631463507.
What is the St. Louis Arc's specialty and taxonomy code?
The St. Louis Arc's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912183278 to St. Louis Arc?
The St. Louis Arc received its 1912183278 assignment from the Centers for Medicare & Medicaid Services on 2008-01-17.
When was the information pertaining to St. Louis Arc most recently updated or revised?
The details related to St. Louis Arc, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-17.