Organization Active NPI

R &R Residential Care LLC

  • Psychiatric Residential Treatment Facility
  • Florissant, MO
National Provider Identifier
1023618014
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
R &R RESIDENTIAL CARE LLC
Practice address
17025 Old Jamestown Rd
Florissant, MO 63034-1414
Phone
(314) 355-8041
NPI assigned
Oct 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raynette Converse
Title
Owner
Phone
(314) 355-8041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

17025 Old Jamestown Rd
Florissant, MO 63034-1414

Mailing address

17025 Old Jamestown Rd
Florissant, MO 63034-1414
Phone (314) 355-8041

Other names 1

  • Converse Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2112601R & R Residential Converse Home Care LLC17025 Old Jamestown, Florissant, MO 63034Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1023618014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17025 OLD JAMESTOWN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341414",
            "telephone_number": "314-355-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17025 OLD JAMESTOWN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341414",
            "telephone_number": "314-355-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R &R RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "CONVERSE",
        "authorized_official_first_name": "RAYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-355-8041"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Converse Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.