Active NPI
R &R Residential Care LLC
- Psychiatric Residential Treatment Facility
- Florissant, MO
National Provider Identifier
1023618014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2112601 | R & R Residential Converse Home Care LLC | Certificate of waiver | May 2, 2028 |
National Provider Directory
National Provider DirectoryNPI 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
- Purpose Home Healthcare LLC
- Amy Theresa Quade
- Quality Assurance Home Health, LLC
- Quality Care in Home Services, LLC
- Quality Supportive Living
- Rainbow of Care Home Health/Marketing and Recruiting
- Rainbow Pediatrics Inc.
- Melissa Ramos, BA, MAADC II
- Rancho Manor Healthcare and Rehab Center LLC
- Rancho Operator LLC
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.