St. Louis Arc in Saint Louis - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
St. Louis Arc - NPI 1962688218
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 1962688218. 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 | 1962688218 |
|---|---|
| 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 |
|---|---|---|---|
| 856161906 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to St. Louis Arc?
The St. Louis Arc has been issued the NPI (National Provider Identifier) 1962688218 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where St. Louis Arc's facilities are situated?
The facilities of St. Louis Arc are physically located at the following address: 1816 Lackland Hill Pkwy, Saint Louis, MO, 631463507.
What is St. Louis Arc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for St. Louis Arc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962688218 to St. Louis Arc?
The Centers for Medicare & Medicaid Services assigned the 1962688218 to St. Louis Arc on 2008-01-17.
As of what date were the details related to St. Louis Arc most recently updated or revised?
The information pertaining to St. Louis Arc, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-17.
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