NPIMap

Organization Active NPI

MBCH Children and Family Ministries

  • Mental Illness Community Based Residential Treatment Facility
  • Bridgeton, MO
National Provider Identifier
1245357599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
00NA
Legal business name
MBCH CHILDREN AND FAMILY MINISTRIES
Practice address
11300 Saint Charles Rock Rd
Bridgeton, MO 63044-2721
Phone
(314) 739-6811
Fax
(314) 739-6325
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Russell Martin
Title
President and Treasurer
Phone
(314) 739-6811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 00NA Primary

Addresses

Primary practice location

11300 Saint Charles Rock Rd
Bridgeton, MO 63044-2721

Mailing address

11300 Saint Charles Rock Rd
Bridgeton, MO 63044-2721
Phone (314) 739-6811

Other names 1

  • MISSOURI BAPTIST CHILDREN'S HOME Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
MBCH Children and Family Ministries3 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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245357599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 SAINT CHARLES ROCK RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442721",
            "telephone_number": "314-739-6811",
            "fax_number": "314-739-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 SAINT CHARLES ROCK RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442721",
            "telephone_number": "314-739-6811",
            "fax_number": "314-739-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBCH CHILDREN AND FAMILY MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "314-739-6811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": "00NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSOURI BAPTIST CHILDREN'S HOME",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.