NPIMap

Organization Active NPI

Peace Haven Association

  • Religious Nonmedical Health Care Institution
  • Saint Louis, MO
National Provider Identifier
1679538433
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X
License
030123 Issued in MO
Legal business name
PEACE HAVEN ASSOCIATION
Practice address
12630 Rott Rd
Saint Louis, MO 63127-1214
Phone
(314) 965-3833
Fax
(314) 965-5260
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Mrs. Anne H McCauley
Title
Executive Director
Phone
(314) 965-3833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Health Care Institution 282J00000X 030123 MO Primary

Addresses

Primary practice location

12630 Rott Rd
Saint Louis, MO 63127-1214

Mailing address

12630 Rott Rd
Saint Louis, MO 63127-1214
Phone (314) 965-3833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 261993

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PEACE HAVEN ASSOCIATION
Certification status
Terminated Voluntary: merger or closure, Apr 1, 2022
Provider type (POS)
Hospital – Religious non-medical health care institution
Participating since
Sep 16, 2005
Last certification
Sep 26, 2012
Beds
42
Ownership / control type
Church
Facility address
12630 Rott Road
Saint Louis, MO 63127

National Provider Directory

National Provider Directory

Locations

12630 Rott Rd
Saint Louis, MO 63127
Phone (314) 965-3833

Practitioners & affiliated clinicians

Practitioners 2

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1679538433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 ROTT RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271214",
            "telephone_number": "314-965-3833",
            "fax_number": "314-965-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 ROTT RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271214",
            "telephone_number": "314-965-3833",
            "fax_number": "314-965-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HAVEN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-965-3833",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": "MO",
            "license": "030123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.