St. Charles County Association for Retarded Citizens

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

ST. CHARLES COUNTY ASSOCIATION FOR RETARDED CITIZENS

Doing business as

Family Support Services

Practice address

107 Sheriff Dierker CT
O Fallon, MO 63366-2468

Phone

(636) 946-2546

Fax

(636) 272-0258

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 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

Elizabeth A McDonald

Title

Business Manager

Phone

(636) 946-2546

Specialties & licenses 1

Addresses

Other names 1

• Family Support Services Doing business as

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1629253380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SHERIFF DIERKER CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662468",
            "telephone_number": "636-946-2546",
            "fax_number": "636-272-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SHERIFF DIERKER CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662468",
            "telephone_number": "636-946-2546",
            "fax_number": "636-272-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES COUNTY ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "636-946-2546"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.