Organization Active NPI

Residential Services Corporation

Doing business as St. Elizabeth Hall

  • Assisted Living Facility
  • Saint Louis, MO
National Provider Identifier
1235202870
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
032905 Issued in MO
Legal business name
RESIDENTIAL SERVICES CORPORATION
Doing business as
St. Elizabeth Hall
Practice address
325 N Newstead
St Louis, MO 63108
Phone
(314) 652-9525
Fax
(314) 652-8879
NPI assigned
Nov 15, 2006
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Kanyeka Cedell Garner
Title
Billing Acct Rep
Phone
(314) 918-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 032905 MO Primary

Addresses

Primary practice location

325 N Newstead
St Louis, MO 63108

Mailing address

7601 Watson Rd
Saint Louis, MO 63119-5001
Phone (314) 961-8000

Other identifiers 1

IdentifierTypeStateIssuer
266741404MedicaidMO

Other names 1

  • St. Elizabeth Hall Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0901449Saint Elizabeth Hall of Cathedral Towr325 North Newstead Avenue, Saint Louis, MO 63108Certificate of waiverMay 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Residential Services Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1235202870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195001",
            "telephone_number": "314-961-8000",
            "fax_number": "314-962-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N NEWSTEAD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63108",
            "telephone_number": "314-652-9525",
            "fax_number": "314-652-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "KANYEKA",
        "authorized_official_middle_name": "CEDELL",
        "authorized_official_title_or_position": "BILLING ACCT REP",
        "authorized_official_telephone_number": "314-918-2263"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266741404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Elizabeth Hall",
            "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 Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.