Accessible Community Living, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ACCESSIBLE COMMUNITY LIVING, INC

Practice address

4052 Portland Ridge Dr
Florissant, MO 63034-2404

Phone

(314) 420-2006

Fax

(314) 355-1214

NPI assigned

Jun 6, 2019

Organization subpart

No

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

Authorized official

Name

Laronda Allen

Title

Executive Director

Phone

(314) 420-2006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1306405097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 PORTLAND RIDGE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342404",
            "telephone_number": "314-420-2006",
            "fax_number": "314-355-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 PORTLAND RIDGE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342404",
            "telephone_number": "314-420-2006",
            "fax_number": "314-355-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESSIBLE COMMUNITY LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LARONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-420-2006"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.