St. Louis Arc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

103091 Issued in MO

Legal business name

ST. LOUIS ARC

Practice address

1816 Lackland Hill Pkwy
1240 Dautel LN
Saint Louis, MO 63146-3507

Phone

(314) 569-2211

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Anne Tisone

Title

VP of Operations/Cfo

Phone

(314) 569-2211

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St Louis Arc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

• St Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • St Louis, MO
  • NPI 1841460623
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1083890347
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1104002450
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1124204474
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1134305485
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1144406497
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1154507408
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1194846220
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1215113568
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1295984995
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1457537714
  NPD tax ID
• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1467638726
  NPD tax ID

Locations

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1982880233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 LACKLAND HILL PKWY",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 LACKLAND HILL PKWY",
            "address_2": "1240 DAUTEL LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463507",
            "telephone_number": "314-569-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "TISONE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "VP OF OPERATIONS/CFO",
        "authorized_official_telephone_number": "314-569-2211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "103091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857724504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Louis Arc
• St. Louis Arc
• St. Louis Arc
• St. Louis Arc
• St. Louis Arc
• St. Louis Arc Inc
• St. Louis Autism Testing Center, LLC
• St. Louis Behavioral Associates LTD.
• St. Louis Behavioral Medicine Institute Inc
• St. Louis Board of Education

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.