CARONDELET RETIREMENT MANOR
NPI 1184001836
Assisted Living Facility in Saint Louis, MO

Active since May 01, 2015CLIA 26D0963325 · Waiver
6811 MICHIGAN AVE, SAINT LOUIS, MO 63111(314) 630-3543 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carondelet Retirement Manor NPPES

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

CARONDELET RETIREMENT MANOR (NPI 1184001836) is a healthcare organization registered as an assisted living facility in Saint Louis, Missouri and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Christopher Michael Vancil, Owner, as its authorized official.

NPPES Registry Identity

NPI1184001836
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCARONDELET RETIREMENT MANOR
Location Address6811 MICHIGAN AVESaint Louis, MO 63111-2834
Mailing Address6811 Michigan Ave.St Louis, MO 63111 · (314) 630-3543
Organization SubpartYesParent: Missouri Residential Care, Llc
Authorized OfficialChristopher Michael VancilOwner · (314) 630-3543
Enumeration DateMay 1, 2015
Last NPPES UpdateMay 6, 2015
NPI 1184001836 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 · 043127
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.
6811 MICHIGAN AVE, Saint Louis, MO 63111

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 26D0963325

Carondelet Retirement Manor · Saint Louis, MO
Active · expires Jul 26, 2027
CLIA Number26D0963325
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorDeanna M. Draper
Laboratory Phone(314) 353-9552
Laboratory LocationCarondelet Retirement Manor6811 Michigan, Saint Louis, MO 63111
CLIA data matches this NPI record on: Address Name
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 Carondelet Retirement Manor's NPI number?

The NPI number for Carondelet Retirement Manor is 1184001836. It was assigned to this organization in the NPPES registry on May 1, 2015.

Where is Carondelet Retirement Manor located?

Carondelet Retirement Manor is located at 6811 Michigan Ave, Saint Louis, MO 63111. The listed phone number is (314) 630-3543.

What is Carondelet Retirement Manor's specialty?

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

Does Carondelet Retirement Manor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0963325) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carondelet Retirement Manor was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.