K. F. JAMMER MANOR INC. (NPI# 1407058894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407058894 |
| Entity Type | Organization |
| Organization Name | K. F. JAMMER MANOR INC. |
| Practice Address |
5415 Thekla Ave Saint Louis MO 63120-2513 |
| Mailing Address |
1004 Pennsylvania Ave Saint Louis MO 63130-2325 |
| Practice Telephone | 3143858180 |
| Mailing Telephone | 3148621662 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VARO DAVIS (ADMINISTRATOR) |
| Authorized Official Telephone | 3148621662 |
| Authorized Official Credential | RN, LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972705341 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 | 2007-06-05 |
| Street Address |
5415 THEKLA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63120-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063730869 | John Robert Reiter Residential Care | Assisted Living Facility | 5415 Thekla Ave, Saint Louis, MO 63120-2513 | 2010-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688571 | Jacquelyn Echoles | Non-emergency Medical Transport (VAN) | 5504 Natural Bridge Apt 6 West, St. Louis, MO 63120 | 2020-01-16 |
| 1922358423 | Smiley Manor | Community Based Residential Treatment Facility, Mental Illness | 5415 Thekla, Saint Louis, MO 63120 | 2012-09-12 |
| 1841314549 | Eye Fashion Factory | Technician/Technologist | 5800 Natural Bridge, Stlouis, MO 63120 | 2007-03-19 |
| 1568504488 | Carestl Health | Clinical Medical Laboratory | 5541 Riverview Bld, St Louis, MO 63120 | 2007-02-14 |
| 1467494062 | Carestl Health #2 | Durable Medical Equipment & Medical Supplies | 5541 Riverview Blvd, Saint Louis, MO 63120 | 2006-06-11 |
| 1013120096 | Jenn-care Home Nursings & Services Inc | Home Health | 6104 Wyma Ave, Saint Louis, MO 63120-1331 | 2007-05-07 |
| 1437687639 | Keys Loving Home Care Services LLC | Home Health | 4122 Dressell Ave, Saint Louis, MO 63120-1402 | 2017-06-01 |
| 1316475510 | Tina Renee Keys | Home Health | 4122 Dressell Ave, Saint Louis, MO 63120-1402 | 2017-06-01 |
| 1265690515 | Kimberly Dawn Smith | Social Worker | 4205 Dressell Ave, Saint Louis, MO 63120-1403 | 2008-05-22 |
| 1255798906 | Safe Hand In Home Care Service | Home Health | 5817 Dressell Ave, Saint Louis, MO 63120-1405 | 2016-01-26 |
| Find all providers in zip 63120 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932369857 | Missouri Residential Care LLC | Psychiatric Residential Treatment Facility | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2008-06-13 |
| 1972705341 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 | 2007-06-05 |
| 1841446804 | Lakeside Center | Psychiatric Residential Treatment Facility | 13044 Marine Ave, Saint Louis, MO 63146-2118 | 2008-08-11 |
| 1487721379 | State of Missouri | Psychiatric Residential Treatment Facility | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618014 | R &r Residential Care LLC | Psychiatric Residential Treatment Facility | 17025 Old Jamestown Rd, Florissant, MO 63034-1414 | 2020-10-28 |
| 1336596832 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1268 Saint Paul Rd, Ballwin, MO 63021-8207 | 2016-05-16 |
| 1780043141 | Lisa Brown | Psychiatric Residential Treatment Facility | 5921 County Road 647, Hornersville, MO 63855-9811 | 2016-02-14 |
| 1073909511 | Weatherby & Associates, LLC | Psychiatric Residential Treatment Facility | 1323 N Washington St, Mexico, MO 65265-3352 | 2015-04-10 |
| 1073830139 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1260 St. Paul Road, St. Louis, MO 63021 | 2010-04-29 |
| 1003000571 | House of Care Center | Psychiatric Residential Treatment Facility | 3744 Benton Blvd, Kansas City, MO 64128-2515 | 2007-08-28 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1841347499 | Compass Health, Inc. | Psychiatric Residential Treatment Facility | 1032 Crosswinds Court, Wentzville, MO 63385 | 2007-01-05 |
| 1013096544 | State of Missouri | Psychiatric Residential Treatment Facility | 1025 N Sprigg St, Cape Girardeau, MO 63701-4831 | 2006-11-03 |
| 1720165327 | Lakeland Hospital Acquisition, LLC | Psychiatric Residential Treatment Facility | 440 South Market Ave, Springfield, MO 65806-2026 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63120 |
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| 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.