4TH Generation RCF LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

4TH GENERATION RCF LLC

Practice address

2320 Hudson Rd
Saint Louis, MO 63136-5608

Phone

(314) 971-9784

Fax

(314) 382-2094

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nacole M Taylor

Title

Director

Phone

(314) 971-9784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1033994983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3258 REX AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631142927",
            "telephone_number": "314-971-9784",
            "fax_number": "314-382-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HUDSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631365608",
            "telephone_number": "314-971-9784",
            "fax_number": "314-382-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4TH GENERATION RCF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NACOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-971-9784",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.