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CHEROKEE RESIDENTIAL CARE LLC NPI 1003083155


NPI Information

NPI: 1003083155
Provider Name: CHEROKEE RESIDENTIAL CARE LLC

Doing Business As: NEW HEIGHTS RESIDENTIAL CARE

Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
3409 MISSOURI AVE
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 368-3247
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CHEROKEE RESIDENTIAL CARE LLC is an assisted living and mental illness assisted living facility in Saint Louis, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. CHEROKEE RESIDENTIAL CARE LLC NPI is 1003083155. The provider is registered as an organization entity type.
The provider Is Doing Business As New Heights Residential Care.

The provider's business location address is:

3409 MISSOURI AVE
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 368-3247
Fax: (314) 771-1377

The provider's authorized official is Gregory Randal Gettman .
The authorized official title is Administrator and has the following contact phone number (314) 368-3247.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 11/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness034514MISSOURINo
23104A0625XAssisted Living FacilityAssisted Living, Mental Illness042586MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1266735109MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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