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STE GENEVIEVE GROUP HOME INC. NPI 1649487315


NPI Information

NPI: 1649487315
Provider Name: STE GENEVIEVE GROUP HOME INC.

Doing Business As: STE. GENEVIEVE GROUP II

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
630 POINTE BASSE DR
STE GENEVIEVE, MO
ZIP 63670
Phone: (573) 883-3074
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STE GENEVIEVE GROUP HOME INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Ste Genevieve, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. STE GENEVIEVE GROUP HOME INC. NPI is 1649487315. The provider is registered as an organization entity type.
The provider Is Doing Business As Ste. Genevieve Group Ii.

The provider's business location address is:

630 POINTE BASSE DR
STE GENEVIEVE, MO
ZIP 63670-849
Phone: (573) 883-3074

The provider's authorized official is Carol A Deardorff .
The authorized official title is Administrator and has the following contact phone number (573) 883-3074.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/22/2020.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMISSOURIYes

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: 4/28/2024

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