Saddler Residential Care Facility, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

033507 Issued in MO

Legal business name

SADDLER RESIDENTIAL CARE FACILITY, INC.

Practice address

730 Hodiamont Ave
Saint Louis, MO 63112-2002

Phone

(314) 725-3709

Fax

(314) 725-0683

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laterryl Saddler

Title

Licensed Nursing Home Administrator

Phone

(314) 725-3709

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1326235664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HODIAMONT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HODIAMONT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122002",
            "telephone_number": "314-725-3709",
            "fax_number": "314-725-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLER RESIDENTIAL CARE FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "SADDLER",
        "authorized_official_first_name": "LATERRYL",
        "authorized_official_title_or_position": "LICENSED NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "314-725-3709"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "033507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacred Hands LLC
• Khushboo Jitendra Sadadiwala, PSYD
• Farid G. Sadaka, M.D.
• Tiare Sadarananda, OTR/L
• Saddler Group Adult Day Care
• Laterryl Saddler
• Nakeia Saddler, DNP
• Hamed Sadeghipour, M.D.
• Antoine Sader, MD
• Justin Samuel Sadhu, MD

• Assisted Living Facility (Mental Illness) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.