Organization Active NPI

Magnificent Villa

  • Developmentally Disabled Services Day Training Agency
  • Saint Louis, MO
National Provider Identifier
1568344653
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MAGNIFICENT VILLA
Practice address
1908 Sullivan Ave
Saint Louis, MO 63107-3825
Phone
(314) 465-9039
NPI assigned
Jul 22, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Margaret White
Title
Owner/Ceo
Phone
(314) 465-9039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1908 Sullivan Ave
Saint Louis, MO 63107-3825

Mailing address

1908 Sullivan Ave
Saint Louis, MO 63107-3825
Phone (314) 465-9039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1568344653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 SULLIVAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631073825",
            "telephone_number": "314-465-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 SULLIVAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631073825",
            "telephone_number": "314-465-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICENT VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "314-465-9039"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "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 Jul 22, 2025; 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.