COMMUNITY RESIDENTIAL SUPPORTIVE LIVING – NPI #1295907921
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

COMMUNITY RESIDENTIAL SUPPORTIVE LIVING is a community based residential treatment facility located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1295907921 to COMMUNITY RESIDENTIAL SUPPORTIVE LIVING on April 02, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY RESIDENTIAL SUPPORTIVE LIVING below.

NPI Profile for
COMMUNITY RESIDENTIAL SUPPORTIVE LIVING

NPI Number
1295907921
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY RESIDENTIAL SUPPORTIVE LIVING
Primary location
1026 VILLA ST.CYR
SAINT LOUIS, MO 63137
Phone: (314) 869-1977 Fax: (314) 869-1977
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MONICA GILLESPIE
DIRECT SUPPORT PROFESSIONAL
Phone: (314) 869-1977
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.