SPRING MANOR LLC
NPI 1225464001
Assisted Living Facility - Assisted Living, Mental Illness in Saint Louis, MO

Active since September 24, 2013CLIA 26D2055989 · Waiver
3610 PALM ST., APT/SUITE, SAINT LOUIS, MO 63107(314) 533-3111(314) 533-3120 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Spring Manor Llc NPPES

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

SPRING MANOR LLC (NPI 1225464001) is a healthcare organization registered as an assisted living, mental illness in Saint Louis, Missouri and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Saleh Malik, President, as its authorized official.

NPPES Registry Identity

NPI1225464001
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameSPRING MANOR LLC
Location Address3610 PALM ST., APT/SUITESaint Louis, MO 63107
Mailing Address2931 N Spring Ave, Apt/suiteSaint Louis, MO 63107-2306 · (314) 533-3111 · Fax (314) 533-3120
Fax(314) 533-3120
Organization SubpartNo
Authorized OfficialSaleh MalikPresident · (314) 265-6634
Enumeration DateSeptember 24, 2013
NPI 1225464001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in MO · 041208
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

3610 PALM ST., Saint Louis, MO 63107

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 26D2055989

Spring Manor · Saint Louis, MO
Active · expires Mar 19, 2027
CLIA Number26D2055989
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorAli Chaudhry
Laboratory Phone(314) 533-3111
Laboratory LocationSpring Manor3610 Palm Street, Saint Louis, MO 63107
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

The NPI number assigned to this healthcare provider is 1225464001, enumerated as an "organization" on September 24, 2013.

The provider is located at 3610 PALM ST. APT/SUITE SAINT LOUIS, MO 63107 and the phone number is (314) 533-3111.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.