Active NPI
Residential Services Corporation
Doing business as St. Elizabeth Hall
- Assisted Living Facility
- Saint Louis, MO
National Provider Identifier
1235202870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 032905
- 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, 2024
- 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
- Kanyeka Cedell Garner
- Title
- Billing Acct Rep
- Phone
- (314) 918-2263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266741404 | Medicaid | MO |
Other names 1
- St. Elizabeth Hall
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0901449 | Saint Elizabeth Hall of Cathedral Towr | Certificate of waiver | May 23, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Residential Services Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba DuBourg House
- Assisted Living Facility
- Saint Louis, MO
- NPI 1649339771
-
dba St Ann Assisted Living Reisdence
- Assisted Living Facility
- Saint Ann, MO
- NPI 1760540538
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
- Rescued Home Health SVC Inc
- Rescued in Home Health LLC
- Ellen Baker Resek
- Residencial Services Corporation (DuBourg House)
- Residential Hospice of Southern Illinois, LLC (Residential Hospice of E MO)
- Resilience Counseling, LLC
- Resilience Garden LLC
- Jamie Reski, PHARM.D.
- Respect Is Love CDS, LLC
- Jessicah Ann Respicio, M.D.
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.