Organization Active NPI

L'Arche St. Louis, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brentwood, MO
National Provider Identifier
1083934889
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
L'ARCHE ST. LOUIS, INC
Practice address
9445 Litzsinger Road
Brentwood, MO 63144
Phone
(314) 395-5851
Fax
(314) 492-8685
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Ms. Paula Kathleen Kilcoyne, MSW
Title
Executive Director
Phone
(314) 395-5851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

9445 Litzsinger Road
Brentwood, MO 63144

Mailing address

9445 Litzsinger Road
Brentwood, MO 63144
Phone (314) 395-5851

National Provider Directory

National Provider Directory

Locations

17 Selma Ave
Webster Groves, MO 63119

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1083934889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 LITZSINGER ROAD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "63144",
            "telephone_number": "314-395-5851",
            "fax_number": "314-492-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 LITZSINGER ROAD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "63144",
            "telephone_number": "314-395-5851",
            "fax_number": "314-492-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L'ARCHE ST. LOUIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "KILCOYNE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-395-5851",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.