Active NPI
L'Arche St. Louis, Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Brentwood, MO
National Provider Identifier
1083934889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.