Wilbar Boarding Home Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

032570 Issued in MO

Legal business name

WILBAR BOARDING HOME INC.

Practice address

4337 Maryland Ave
Saint Louis, MO 63108-2703

Phone

(314) 535-2141

Fax

(314) 535-3717

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Baker, R.N.

Title

Director of Nursing

Phone

(314) 535-2141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1083732929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 MARYLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082703",
            "telephone_number": "314-535-2141",
            "fax_number": "314-535-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 MARYLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082703",
            "telephone_number": "314-535-2141",
            "fax_number": "314-535-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBAR BOARDING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "314-535-2141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "032570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266937200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen M Wijeweera, ANP
• Jeanne M Wikete, RPH
• Casey Wikiera, LPC
• Michelle Wikoff, MSN,APRN,BC
• Bryson Colt Wilbanks, D.C.
• Ashley Janelle Wilbers, MD
• Sherria Wilborn-Morris, PHARMD
• Saundra Wilbourn
• Ryan Richard Wilbur, MD
• Jayla C Wilburn

• Assisted Living Facility (Mental Illness) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.