NPIMap

Organization Active NPI

Preferred Family Healthcare, Inc.

  • Substance Abuse Rehabilitation Facility
  • Saint Charles, MO
National Provider Identifier
1023136298
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1290-7765 Issued in MO
Legal business name
PREFERRED FAMILY HEALTHCARE, INC.
Practice address
1570 S Main St
Saint Charles, MO 63303-4149
Phone
(636) 757-2200
NPI assigned
Mar 27, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mark Conover
Title
Chief Revenue Officer
Phone
(573) 603-1460

National Provider Directory

National Provider Directory
Tax ID family
Preferred Family Health Care Inc149 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1290-7765 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1570 S Main St
Saint Charles, MO 63303-4149

Mailing address

1601 Old South River Rd
Saint Charles, MO 63303-4120
Phone (636) 224-1210

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
866202807MedicaidMO

Other names 1

NPPES NPI Registry
  • Bridgeway Behavioral Health Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2022.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1023136298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OLD SOUTH RIVER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034120",
            "telephone_number": "636-224-1210",
            "fax_number": "636-246-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 S MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034149",
            "telephone_number": "636-757-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FAMILY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "573-603-1460"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MO",
            "license": "1290-7765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866202807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bridgeway Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.