Organization Active NPI

Mitchell Resource Center for Social Services

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1972852234
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MITCHELL RESOURCE CENTER FOR SOCIAL SERVICES
Practice address
1341 N Kingshighway Blvd
Saint Louis, MO 63113-1415
Phone
(314) 367-2633
Fax
(314) 367-3064
NPI assigned
Sep 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Authorized official

Name
Mr. Robert Arnold Ross
Title
Director
Phone
(314) 910-2476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1341 N Kingshighway Blvd
Saint Louis, MO 63113-1415

Mailing address

1341 N Kingshighway Blvd
Saint Louis, MO 63113-1415
Phone (314) 367-2633

National Provider Directory

National Provider Directory

Locations

1341 N Kingshighway Blvd
Saint Louis, MO 63113
Phone (314) 367-2633

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346544000000",
    "number": "1972852234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 N KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131415",
            "telephone_number": "314-367-2633",
            "fax_number": "314-367-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131415",
            "telephone_number": "314-367-2633",
            "fax_number": "314-367-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL RESOURCE CENTER FOR SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-910-2476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 2, 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.