NPIMap

Organization Active NPI

Missouri Residential Care LLC

  • Psychiatric Residential Treatment Facility
  • Saint Louis, MO
National Provider Identifier
1932369857
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
032772 Issued in MO
Legal business name
MISSOURI RESIDENTIAL CARE LLC
Doing business as
Chateau Ann Marie
Practice address
7700 Minnesota Ave
Saint Louis, MO 63111-3336
Phone
(314) 449-1497
Fax
(314) 449-1614
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Christopher M. Vancil
Title
Owner/Administrator
Phone
(314) 449-1497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 032772 MO Primary

Addresses

Primary practice location

7700 Minnesota Ave
Saint Louis, MO 63111-3336

Mailing address

7700 Minnesota Ave
Saint Louis, MO 63111-3336
Phone (314) 449-1497

Other identifiers 2

IdentifierTypeStateIssuer
M266859602OtherMOMO HEALTHNET
266859602MedicaidMO

Other names 1

  • Chateau Ann Marie Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0887787Chateau Ann Marie7700 Minnesota Ave, Saint Louis, MO 63111Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Holly Hills Retirement Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1932369857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 MINNESOTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631113336",
            "telephone_number": "314-449-1497",
            "fax_number": "314-449-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 MINNESOTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631113336",
            "telephone_number": "314-449-1497",
            "fax_number": "314-449-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "VANCIL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "314-449-1497"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MO",
            "license": "032772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO HEALTHNET",
            "identifier": "M266859602",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266859602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chateau Ann Marie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.