Organization Active NPI

Compassionate Health Care of St Louis, Inc

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1679084206
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
001372489 Issued in MO
Legal business name
COMPASSIONATE HEALTH CARE OF ST LOUIS, INC
Practice address
4191 Crescent Dr
Saint Louis, MO 63129-1000
Phone
(314) 939-1322
Fax
(314) 939-1323
NPI assigned
Oct 23, 2017
Organization subpart
Yes
Parent organization
COMPASSIONATE HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Chris Leara
Title
President
Phone
(314) 238-7400

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0101X 001372489 MO
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 001372489 MO
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 001372489 MO
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 001372489 MO
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 001372489 MO Primary

Addresses

Primary practice location

4191 Crescent Dr
Saint Louis, MO 63129-1000

Mailing address

10175 Tanbridge Rd
Saint Louis, MO 63128-2630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181107003537 MO Part B Supplier - Clinic/Group Practice 6103170295 Receives reassigned benefits from 5 practitioners
Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2157026Compassionate Health Care of St Louis, Inc4191 Crescent Drive, Saint Louis, MO 63129Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory
Part of
Compassionate Health Care Inc

Locations

3636 S Geyer Rd
Saint Louis, MO 63127
Phone (314) 369-6376

4191 Crescent Dr
Ste A
Saint Louis, MO 63129
Phone (314) 939-1322

4191 Crescent Dr
Saint Louis, MO 63129
Phone (314) 939-1322

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.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1679084206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 TANBRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 CRESCENT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291000",
            "telephone_number": "314-939-1322",
            "fax_number": "314-939-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HEALTH CARE OF ST LOUIS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASSIONATE HEALTH CARE, INC.",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "LEARA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-238-7400"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "MO",
            "license": "001372489",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "001372489",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "001372489",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "001372489",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "001372489",
            "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 Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.