GARCIAS CENTRAL RESIDENCE (NPI# 1417164419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417164419 |
| Entity Type | Organization |
| Organization Name | GARCIAS CENTRAL RESIDENCE |
| Practice Address |
5143 Waterman Blvd Saint Louis MO 63108-1103 |
| Practice Telephone | 3143675620 |
| Mailing Telephone | 3143675620 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS JESSICA MARIE STUBBLEFIELD (OFFICE MANAGER) |
| Authorized Official Telephone | 3148036620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 032972 | MO | Nursing & Custodial Care Facilities |
| Street Address |
5143 WATERMAN BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912462037 | Dunn-dunn House LLC | Assisted Living Facility | 2133 Jannette Dr, Saint Louis, MO 63136-4020 | 2019-02-02 |
| 1932608932 | Sw Living LLC | Assisted Living Facility | 1501 Clinton St, Saint Louis, MO 63106-4100 | 2018-02-05 |
| 1790295558 | Avalon Memory Care, LLC | Assisted Living Facility | 5342 Butler Hill Rd, Saint Louis, MO 63128-4152 | 2017-10-06 |
| 1275074957 | Americare At South St. Louis, LLC | Assisted Living Facility | 4962 Mattis Rd, Saint Louis, MO 63128-2795 | 2017-03-15 |
| 1326400888 | Shonta Clark | Assisted Living Facility | 325 Rose Ln, Saint Louis, MO 63122-5911 | 2016-03-24 |
| 1184001836 | Carondelet Retirement Manor | Assisted Living Facility | 6811 Michigan Ave, Saint Louis, MO 63111-2834 | 2015-05-01 |
| 1275910341 | Holly Hills Retirement Home | Assisted Living Facility | 6421 Minnesota Ave, Saint Louis, MO 63111-2808 | 2015-04-28 |
| 1487044293 | Neelum LLC | Assisted Living Facility | 3610 Palm St, Saint Louis, MO 63107-2206 | 2015-02-01 |
| 1104235548 | Garden Villas of South County, Inc. | Assisted Living Facility | 13457 Tesson Ferry Rd, Saint Louis, MO 63128-4010 | 2014-08-11 |
| 1124439708 | St. Anthony's Physician Organization | Assisted Living Facility | 9735 Landmark Parkway Dr Ste 200, Saint Louis, MO 63127-1666 | 2014-05-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on GARCIAS CENTRAL RESIDENCE.
| 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.