NPIMap

Organization Active NPI

Craig Resources, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
National Provider Identifier
1164809869
Registry record updated Sep 26, 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
CRAIG RESOURCES, INC.
Practice address
5661 Telegraph Rd Ste 5B
Saint Louis, MO 63129-4275
Phone
(314) 843-0316
Fax
(316) 843-0317
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Mr. Sean Balke
Title
President & Coo
Phone
(162) 668-7223

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

5661 Telegraph Rd Ste 5B
Saint Louis, MO 63129-4275

Mailing address

1220 E 1St St N
Wichita, KS 67214-3907
Phone (316) 266-8717

Other identifiers 3

IdentifierTypeStateIssuer
945429900MedicaidMO
0009412OtherMOS SBG/GR
265429902OtherMOMEDICAID PERSONAL CARE

Other names 1

  • Craig HomeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Craig Resources LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5062 Griffin Rd
Saint Louis, MO 63128

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1164809869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 1ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143907",
            "telephone_number": "316-266-8717",
            "fax_number": "316-266-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5661 TELEGRAPH RD STE 5B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294275",
            "telephone_number": "314-843-0316",
            "fax_number": "316-843-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "BALKE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "162-668-7223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945429900",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "S SBG/GR",
            "identifier": "0009412",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PERSONAL CARE",
            "identifier": "265429902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Craig HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 26, 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.