Colonial House of Festus II

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

COLONIAL HOUSE OF FESTUS II

Practice address

129 Gray St
Festus, MO 63028-1950

Phone

(636) 933-4050

Fax

(636) 937-9550

NPI assigned

Jan 3, 2007

Last updated

Mar 31, 2023By 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

Mr. Greg A Sauer

Title

Office Manager

Phone

(636) 933-4911

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1447307699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630280758",
            "telephone_number": "636-933-4050",
            "fax_number": "636-937-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 GRAY ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281950",
            "telephone_number": "636-933-4050",
            "fax_number": "636-937-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HOUSE OF FESTUS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-933-4911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266758200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mallard Clouse
• Raelyn Cole, DPT
• Tina Cole
• Katelyn Rhea Coleman, FNP-BC
• Colonial House of Festus I
• Mark P Comess, DPM
• Compass Health, Inc (Comtrea)
• Compass Health, Inc
• Compass Health, Inc
• Compass Health, Inc

• Assisted Living Facility (Mental Illness) in Festus, MO
• Providers in Festus, 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 Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.