Hotel California by the Sea St. Louis, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HOTEL CALIFORNIA BY THE SEA ST. LOUIS, LLC

Practice address

333 S Kirkwood Rd Ste 303
Kirkwood, MO 63122-6161

Phone

(800) 762-6717

NPI assigned

Feb 14, 2020

Organization subpart

No

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

Authorized official

Name

Bryan Bixler

Title

Chief Program Officer

Phone

(800) 762-6717

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1740813096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S KIRKWOOD RD STE 303",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S KIRKWOOD RD STE 303",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226161",
            "telephone_number": "800-762-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOTEL CALIFORNIA BY THE SEA ST. LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "BIXLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "800-762-6717"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy J. Holt, CRNA
• Gabriele Hoog
• Amy L Hopkins, MSW
• Joseph Horton, LCSW
• Nicole L Horwat, PT
• Erin Hotz, LCSW
• Christina Lynn Howrey
• Angela Gail Igwe
• Suzanne Michelle Imig
• Inbox Functional Rehab, LLC

• Substance Abuse Rehabilitation Facility in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Substance Abuse Rehabilitation Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.