NPIMap

Organization Active NPI

Ste Genevieve Group Home Inc.

Doing business as Ste. Genevieve Group II

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ste Genevieve, MO
National Provider Identifier
1649487315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
STE GENEVIEVE GROUP HOME INC.
Doing business as
Ste. Genevieve Group II
Practice address
630 Pointe Basse Dr
Ste Genevieve, MO 63670-1849
Phone
(573) 883-3074
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol A Deardorff
Title
Administrator
Phone
(573) 883-3074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MO Primary

Addresses

Primary practice location

630 Pointe Basse Dr
Ste Genevieve, MO 63670-1849

Mailing address

630 Pointe Basse Dr
Ste Genevieve, MO 63670-1849
Phone (573) 883-3074

Other names 1

  • Ste. Genevieve Group II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ste Genevieve Group Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

630 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-3074

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649487315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 POINTE BASSE DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701849",
            "telephone_number": "573-883-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 POINTE BASSE DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701849",
            "telephone_number": "573-883-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STE GENEVIEVE GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEARDORFF",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-883-3074"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ste. Genevieve Group II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ste Genevieve, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.