NPIMap

Organization Active NPI

Preferred Family Healthcare, Inc

  • Substance Abuse Rehabilitation Facility
  • Saint Louis, MO
National Provider Identifier
1821406174
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
6300-9238 Issued in MO
Legal business name
PREFERRED FAMILY HEALTHCARE, INC
Practice address
4066 Dunnica
Saint Louis, MO 63118
Phone
(314) 772-2205
Fax
(314) 772-9264
NPI assigned
Jul 31, 2014
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PREFERRED FAMILYL HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Mark Conover
Title
Chief Revenue Officer
Phone
(573) 603-1460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 6300-9238 MO Primary

Addresses

Primary practice location

4066 Dunnica
Saint Louis, MO 63118

Mailing address

1601 Old South River Rd
Saint Charles, MO 63303-4120
Phone (636) 224-1210

Other names 1

  • ADVANCE@PFH Other name

National Provider Directory

National Provider Directory
Tax ID family
Preferred Family HLTH Inc149 organizations share this tax ID, including this one
Part of
Preferred Family HLTH Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1821406174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OLD SOUTH RIVER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034120",
            "telephone_number": "636-224-1210",
            "fax_number": "636-246-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 DUNNICA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63118",
            "telephone_number": "314-772-2205",
            "fax_number": "314-772-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FAMILY HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED FAMILYL HEALTHCARE, INC",
        "enumeration_date": "2014-07-31",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "573-603-1460"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MO",
            "license": "6300-9238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCE@PFH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ADVANCE@PFH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 29, 2022; 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.