Organization Active NPI

Archway Residential Care LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1306522206
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARCHWAY RESIDENTIAL CARE LLC
Practice address
1515 N Warson Rd Ste 132E
Saint Louis, MO 63132
Phone
(314) 574-4203
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Nina JordanNPI 1619636040
Title
Owner
Phone
(314) 574-4203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1515 N Warson Rd Ste 132E
Saint Louis, MO 63132

Mailing address

1515 N Warson Rd Ste 132E
Saint Louis, MO 63132
Phone (314) 574-4203

National Provider Directory

National Provider Directory

Locations

1515 N Warson Rd
Ste 132E
Saint Louis, MO 63132
Phone (314) 395-2277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1306522206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 132E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-574-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 132E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-574-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-574-4203"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 2024; 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.