NPIMap

Organization Active NPI

Residencial Services Corporation

  • Assisted Living Facility
  • St Louis, MO
National Provider Identifier
1649339771
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
032709 Issued in MO
Legal business name
RESIDENCIAL SERVICES CORPORATION
Practice address
5890 Eichelberger
St Louis, MO 63109
Phone
(314) 752-1901
Fax
(314) 752-0572
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Ms. Jacqueline J Bonness, CPA
Title
Cfo
Phone
(314) 361-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 032709 MO Primary

Addresses

Primary practice location

5890 Eichelberger
St Louis, MO 63109

Mailing address

7601 Watson Road
St Louis, MO 63119
Phone (314) 961-8000

Other identifiers 1

IdentifierTypeStateIssuer
266741701MedicaidMO

Other names 1

  • DuBourg House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Residential Services Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1649339771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 WATSON ROAD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63119",
            "telephone_number": "314-961-8000",
            "fax_number": "314-961-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 EICHELBERGER",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63109",
            "telephone_number": "314-752-1901",
            "fax_number": "314-752-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENCIAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "BONNESS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-361-8000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266741701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuBourg House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.