ST. CHARLES ASSISTED LIVING LLC NPI 1851513204

NPI Information

  • NPI: 1851513204
  • Provider Name: ST. CHARLES ASSISTED LIVING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: CHESTNUT GLEN ASSISTED LIVIGN AND THE ARBORS AT CHESTNUT GLEN
  • CLIA Number: 26D1096721
  • Address: 121 KLONDIKE CROSSING
    ST PETERS, MO
    ZIP 63376
  • Phone: (636) 928-4200

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NPI Details

ST. CHARLES ASSISTED LIVING, LLC is an assisted living facility in St Peters, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ST. CHARLES ASSISTED LIVING, LLC NPI is 1851513204. The provider is registered as an organization entity type.
The provider Is Doing Business As Chestnut Glen Assisted Livign And The Arbors At Chestnut Glen.

The provider's business location address is:

121 KLONDIKE CROSSING
ST PETERS, MO
ZIP 63376
Phone: (636) 928-4200

The provider's authorized official is James Reiker .
The authorized official title is Treasurer and has the following contact phone number (573) 471-1113.

The CLIA number assigned to this NPI record is 26D1096721 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityMISSOURIYes

What is NPI?

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This page was last updated on: 3/30/2025

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