ST. LOUIS ARC
NPI 1104002450
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Saint Louis, MO

Active since January 17, 2008
1816 LACKLAND HILL PKWY, 1651 FONTANA, SAINT LOUIS, MO 63146(314) 569-2211 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Louis Arc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. LOUIS ARC (NPI 1104002450) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Saint Louis, Missouri and active in the NPI registry since January 2008. The organization lists Kathleen Anne Tisone, Vp Of Operations/cfo, as its authorized official.

NPPES Registry Identity

NPI1104002450
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameST. LOUIS ARC
Location Address1816 LACKLAND HILL PKWY, 1651 FONTANASaint Louis, MO 63146-3507
Mailing Address1816 Lackland Hill Pkwy, Suite 200Saint Louis, MO 63146-3507
Organization SubpartNo
Authorized OfficialKathleen Anne TisoneVp Of Operations/cfo · (314) 569-2211
Enumeration DateJanuary 17, 2008
NPI 1104002450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in MO · 103091
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1816 LACKLAND HILL PKWY, Saint Louis, MO 63146

Other Identifiers 1

Medicaid856161005MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1816 LACKLAND HILL PKWY, 12545 VILLA HILL
SAINT LOUIS, MO 63146
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1816 LACKLAND HILL PKWY, 3272 JANUARY 2
SAINT LOUIS, MO 63146
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1816 LACKLAND HILL PKWY, 10130 B MANCHESTER
SAINT LOUIS, MO 63146
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1816 LACKLAND HILL PKWY, DAUTEL CIRCLE CAMPUS
SAINT LOUIS, MO 63146
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1816 LACKLAND HILL PKWY, RAINBOW VILLAGE
SAINT LOUIS, MO 63146
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1816 LACKLAND HILL PKWY, 15650 HEATHERCROFT
SAINT LOUIS, MO 63146
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1816 LACKLAND HILL PKWY, VILLA 1
SAINT LOUIS, MO 63146
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1816 LACKLAND HILL PKWY, 10857 PICCADILLY
SAINT LOUIS, MO 63146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Louis Arc's NPI number?

The NPI number for St. Louis Arc is 1104002450. It was assigned to this organization in the NPPES registry on January 17, 2008.

Where is St. Louis Arc located?

St. Louis Arc is located at 1816 Lackland Hill Pkwy 1651 Fontana, Saint Louis, MO 63146. The listed phone number is (314) 569-2211.

What is St. Louis Arc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for St. Louis Arc was last updated on January 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.