MERS/MISSOURI GOODWILL INDUSTRIES


Address: 1727 Locust St, Saint Louis, MO 63103-1703
Phone: 3149820000

MERS/MISSOURI GOODWILL INDUSTRIES (NPI# 1013283373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013283373
Entity Type Organization
Organization Name MERS/MISSOURI GOODWILL INDUSTRIES
Practice Address 1727 Locust St
Saint Louis
MO 63103-1703
Practice Telephone 3149820000
Practice Fax Number 3149821588
Mailing Telephone 3149820000
Mailing Fax Number 3149821588
Enumeration Date 2012-03-30
Last Update Date 2012-03-30
Authorized Official Name DR. LEWIS C CHARTOCK (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 3149828888
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 1727 LOCUST ST
City SAINT LOUIS
State MO
Zip Code 63103-1703

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306355045 Dimensions of Care Home Health 1911washington Ave, Saint Louis, MO 63103 2017-09-26
1467972752 Rebecca Jones Social Worker 1430 Olive Street, 500, St. Louis, MO 63103 2017-06-27
1780124511 Priority Consumer Directed Services LLC Home Health 1409 Washintong Ave, Suite 504, Saint Louis, MO 63103 2017-02-27
1437562766 Lindsey's Stepping Stones LLC In Home Supportive Care 1409 Washibgton Ave Suite 208, Saint Louis, MO 63103 2014-06-04
1952711046 Jonathan Burch Specialist/Technologist 3330 Laclede Avenue, Saint Louis University - Chaifetz Arena, Saint Louis, MO 63103 2014-04-29
1912329954 Chanel Mitchell Social Worker 1430 Olive, Suite 500, Saint Louis, MO 63103 2014-01-10
1194067116 Hassan R Jafri Physical Therapist 1722 Olive, Sutie 201, St. Louis, MO 63103 2013-03-18
1710240023 Dorothy Harris Licensed Practical Nurse 615 North Grand, Saint Louis, MO 63103 2012-06-21
1932407335 Terence Michael Crowley Chiropractor 3141 Locust St Ste 200, Saint Louis, MO 63103 2011-03-09
1104123470 Thompson Home Health Team LLC Chore Provider 3101 Olive Street, St Louis, MO 63103 2011-02-22
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588108336 Wright Way Residential Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2115 Allen Ave, Apt A, Saint Louis, MO 63104-2630 2016-12-13
1952768889 Living With Purpose Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3919 N 19th St, Saint Louis, MO 63107-2816 2016-01-22
1154788156 Promise Mobility LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5 S Newstead Ave, Saint Louis, MO 63108-2213 2016-01-21
1013334622 Ebony Wilson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3514 Blair Ave, Saint Louis, MO 63107-3717 2014-03-20
1871914515 Donald Scales Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8543 Jane Ave, Saint Louis, MO 63121-4309 2013-12-24
1609218593 Young Mens Christian Association of Greater St Louis Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1528 Locust St, Saint Louis, MO 63103-1816 2013-07-22
1467894535 Sun Valley Adult Care Center, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1000 Saint Cyr Rd, Saint Louis, MO 63137-1733 2013-07-18
1477802957 Phillips Professional Home Health Service Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8456 A Page Ave, Saint Louis, MO 63130-1055 2012-08-30
1720359961 Bethesda Lutheran Communities Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5122 Amberglow Dr, Saint Louis, MO 63129-3204 2012-01-19
1356662910 Calista E. Melkersman Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4635 Frankfort Ave, Saint Louis, MO 63123-5832 2010-06-17
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City SAINT LOUIS
Zip Code 63103

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Dataset Information

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.

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