GARDEN VILLAS SOUTH
NPI 1104235548
Assisted Living Facility in Saint Louis, MO

Q: What is Garden Villas Of South County, Inc.'s NPI number?

The NPI number for Garden Villas Of South County, Inc. is 1104235548. It was assigned to this organization in the NPPES registry on August 11, 2014. The provider is doing business as Garden Villas South.

Q: What is Garden Villas Of South County, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 11, 2014CLIA 26D2071713 · Waiver

13457 TESSON FERRY RD, SAINT LOUIS, MO 63128(314) 843-7788(314) 843-7845 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Garden Villas South NPPES

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

GARDEN VILLAS SOUTH (NPI 1104235548) is a healthcare organization registered as an assisted living facility in Saint Louis, Missouri and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Gail Lee Hartmann, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1104235548

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGARDEN VILLAS OF SOUTH COUNTY, INC.

Location Address13457 TESSON FERRY RDSaint Louis, MO 63128-4010

Mailing Address14805 N Outer 40 Rd, Suite 300Chesterfield, MO 63017-6060 · (636) 733-7000 · Fax (636) 733-7010

Phone(314) 843-7788

Fax(314) 843-7845

Organization SubpartNo

Authorized OfficialGail Lee HartmannTreasurer · (636) 733-7000

Enumeration DateAugust 11, 2014

✔ NPI 1104235548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MO · 041921

Definition

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.

13457 TESSON FERRY RD, Saint Louis, MO 63128

Open in Google Maps ↗

Other Names 1

Doing Business AsGarden Villas South

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2071713

Garden Villas South Assisted Living · Saint Louis, MO

Active · expires Jan 16, 2028

CLIA Number26D2071713

Laboratory TypeAssisted Living Facility

Certificate Effective DateJanuary 17, 2026

Certificate Expiration DateJanuary 16, 2028

Laboratory DirectorBabu Dandamudi

Laboratory Phone(314) 843-7788

Laboratory LocationGarden Villas South Assisted Living13457 Tesson Ferry Rd, Saint Louis, MO 63128

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Garden Villas Of South County, Inc.'s NPI number?

The NPI number for Garden Villas Of South County, Inc. is 1104235548. It was assigned to this organization in the NPPES registry on August 11, 2014. The provider is doing business as Garden Villas South.

Where is Garden Villas Of South County, Inc. located?

Garden Villas Of South County, Inc. is located at 13457 Tesson Ferry Rd, Saint Louis, MO 63128. The listed phone number is (314) 843-7788.

What is Garden Villas Of South County, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Garden Villas Of South County, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2071713) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Garden Villas Of South County, Inc. was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.