Active NPI
Handicap Facilities of St Charles County
- Case Management Agency
- St Peters, MO
National Provider Identifier
1780801837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- HANDICAP FACILITIES OF ST CHARLES COUNTY
- Practice address
- 156 St Peters Centre Blvd
St Peters, MO 63376-1695 - Phone
- (636) 939-3351
- Fax
- (636) 939-3988
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Thoelke, CPA
- Title
- Finance Director
- Phone
- (636) 939-3351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
156 St Peters Centre Blvd
St Peters, MO 63376-1695
Mailing address
156 St Peters Centre Blvd
St Peters, MO 63376-1695
Phone (636) 939-3351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156242901 | Medicaid | MO |
Other names 1
- Developmental Disablities of St Charles County
National Provider Directory
National Provider DirectoryLocations
156 Saint Peters Centre Blvd
Saint Peters, MO 63376
Phone (636) 939-3351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1780801837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 ST PETERS CENTRE BLVD",
"city": "ST PETERS",
"state": "MO",
"postal_code": "633761695",
"telephone_number": "636-939-3351",
"fax_number": "636-939-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 ST PETERS CENTRE BLVD",
"city": "ST PETERS",
"state": "MO",
"postal_code": "633761695",
"telephone_number": "636-939-3351",
"fax_number": "636-939-3988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANDICAP FACILITIES OF ST CHARLES COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "THOELKE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "636-939-3351",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156242901",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Developmental Disablities of St Charles County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.