Organization Active NPI

Smiley Manor West LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Saint Louis, MO
National Provider Identifier
1457945651
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SMILEY MANOR WEST LLC
Practice address
1119 Goodfellow Blvd
Saint Louis, MO 63112-2816
Phone
(314) 323-1021
NPI assigned
Feb 28, 2021
Organization subpart
Yes
Parent organization
SMILEY MANOR LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Authorized official

Name
Mrs. Valarie W Smith
Title
Manager
Phone
(314) 323-1021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1119 Goodfellow Blvd
Saint Louis, MO 63112-2816

Mailing address

1119 Goodfellow Blvd
Saint Louis, MO 63112-2816
Phone (314) 323-1021

National Provider Directory

National Provider Directory

Locations

1119 Goodfellow Blvd
Saint Louis, MO 63112
Phone (314) 323-1021

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614470400000",
    "number": "1457945651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 GOODFELLOW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122816",
            "telephone_number": "314-323-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 GOODFELLOW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122816",
            "telephone_number": "314-323-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY MANOR WEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMILEY MANOR LLC",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-323-1021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Feb 28, 2021; 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.