Organization Active NPI

Central Residence CNSL Operation LLC

  • Assisted Living Facility
  • Saint Louis, MO
National Provider Identifier
1093567349
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CENTRAL RESIDENCE CNSL OPERATION LLC
Practice address
5143 Waterman Blvd
Saint Louis, MO 63108-1103
Phone
(314) 367-5620
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Seth Geller
Title
Authorized Official
Phone
(314) 367-5620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5143 Waterman Blvd
Saint Louis, MO 63108-1103

Mailing address

1734 Gilsinn LN
Fenton, MO 63026-2004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1093567349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 GILSINN LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5143 WATERMAN BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081103",
            "telephone_number": "314-367-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL RESIDENCE CNSL OPERATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "314-367-5620"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.