ST. ANN ASSISTED LIVING CENTER LLC NPI 1306119755

NPI Information

  • NPI: 1306119755
  • Provider Name: ST. ANN ASSISTED LIVING CENTER LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 26D2034435
  • Address: 10441 INTERNATIONAL PLAZA DR
    SAINT ANN, MO
    ZIP 63074
  • Phone: (314) 803-6620

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NPI Details

ST. ANN ASSISTED LIVING CENTER LLC is an assisted living facility in Saint Ann, 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. ANN ASSISTED LIVING CENTER LLC NPI is 1306119755. The provider is registered as an organization entity type.

The provider's business location address is:

10441 INTERNATIONAL PLAZA DR
SAINT ANN, MO
ZIP 63074-805
Phone: (314) 803-6620
Fax: (314) 423-1233

The provider's authorized official is Andrew Stubblefield .
The authorized official title is President and has the following contact phone number (314) 803-6684.

The CLIA number assigned to this NPI record is 26D2034435 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2012 and was last updated on 2/15/2012.

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 Facility039821MISSOURIYes

What is NPI?

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

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