Organization Active NPI

Smiley Manor

  • Mental Illness Community Based Residential Treatment Facility
  • Saint Louis, MO
National Provider Identifier
1922358423
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
040363 Issued in MO
Legal business name
SMILEY MANOR
Practice address
5415 Thekla
Saint Louis, MO 63120
Phone
(314) 932-1360
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Naton Smith
Title
Manager
Phone
(314) 932-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 040363 MO Primary

Addresses

Primary practice location

5415 Thekla
Saint Louis, MO 63120

Mailing address

5415 Thekla
Saint Louis, MO 63120

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1922358423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 THEKLA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 THEKLA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63120",
            "telephone_number": "314-932-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-932-1360"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MO",
            "license": "040363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 2012; 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.