Organization Active NPI

Garcias Central Residence

  • Assisted Living Facility
  • Saint Louis, MO
National Provider Identifier
1417164419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
032972 Issued in MO
Legal business name
GARCIAS CENTRAL RESIDENCE
Practice address
5143 Waterman Blvd
Saint Louis, MO 63108-1103
Phone
(314) 367-5620
NPI assigned
May 17, 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
Miss Jessica Marie Stubblefield
Title
Office Manager
Phone
(314) 803-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 032972 MO Primary

Addresses

Primary practice location

5143 Waterman Blvd
Saint Louis, MO 63108-1103

Mailing address

5143 Waterman Blvd
Saint Louis, MO 63108-1103
Phone (314) 367-5620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417164419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 WATERMAN BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081103",
            "telephone_number": "314-367-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5143 WATERMAN BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081103",
            "telephone_number": "314-367-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARCIAS CENTRAL RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-803-6620",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032972",
            "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 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.