Organization Active NPI

Handicap Facilities of St Charles County

  • Case Management Agency
  • St Peters, MO
National Provider Identifier
1780801837
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Jul 8, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
156242901MedicaidMO

Other names 1

  • Developmental Disablities of St Charles County Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.