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RUSSELL
NPI 1255599528
Intermediate Care Facility, Intellectual Disabilities in Saint Louis, MO

Active since May 23, 2008
4242 RUSSELL BLVD, SAINT LOUIS, MO 63110(314) 652-6004(314) 652-8351 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russell NPPES

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

RUSSELL (NPI 1255599528) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Saint Louis, Missouri and active in the NPI registry since May 2008. The organization lists David Meyer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255599528
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMAGDALA FOUNDATION
Location Address4242 RUSSELL BLVDSaint Louis, MO 63110-3511
Mailing Address4158 Lindell BlvdSaint Louis, MO 63108-2914 · (314) 652-6004 · Fax (314) 652-8351
Phone(314) 652-6004
Fax(314) 652-8351
Organization SubpartYes
Authorized OfficialDavid MeyerExecutive Director · (314) 652-6004
Enumeration DateMay 23, 2008
✔ NPI 1255599528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MO · 2452 10042
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

4242 RUSSELL BLVD, Saint Louis, MO 63110
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Other Names 1

Other NameRussell

Other Identifiers 1

Medicaid112364401MO

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 Magdala Foundation's NPI number?

The NPI number for Magdala Foundation is 1255599528. It was assigned to this organization in the NPPES registry on May 23, 2008. The provider is also known as Russell.

Where is Magdala Foundation located?

Magdala Foundation is located at 4242 Russell Blvd, Saint Louis, MO 63110. The listed phone number is (314) 652-6004.

What is Magdala Foundation's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Magdala Foundation was last updated on May 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.