John Robert Reiter Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

037959 Issued in MO

Legal business name

JOHN ROBERT REITER RESIDENTIAL CARE

Practice address

5415 Thekla Ave
Saint Louis, MO 63120-2513

Phone

(314) 385-8180

Fax

(314) 385-8880

NPI assigned

May 4, 2010

Last updated

May 4, 2010By 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

Mrs. Karen Michelle Reiter

Title

Administrator

Phone

(314) 497-6331

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1063730869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 THEKLA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631202513",
            "telephone_number": "314-385-8180",
            "fax_number": "314-385-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 THEKLA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631202513",
            "telephone_number": "314-385-8180",
            "fax_number": "314-385-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ROBERT REITER RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-497-6331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "037959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407058894",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.