Active NPI
Smiley Manor
- Mental Illness Community Based Residential Treatment Facility
- Saint Louis, MO
National Provider Identifier
1922358423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 040363
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryOwnership & 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Saint Louis, MO
- NPI 1457945651
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.