COMMUNITY RESIDENTIAL SUPPORTIVE LIVING
NPI 1295907921
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Saint Louis, MO

Active since April 02, 2008
1026 VILLA ST.CYR, SAINT LOUIS, MO 63137(314) 869-1977(314) 869-1977 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Residential Supportive Living NPPES

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

COMMUNITY RESIDENTIAL SUPPORTIVE LIVING (NPI 1295907921) 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 April 2008. The organization lists Monica Gillespie, Direct Support Professional, as its authorized official.

NPPES Registry Identity

NPI1295907921
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCOMMUNITY RESIDENTIAL SUPPORTIVE LIVING
Location Address1026 VILLA ST.CYRSaint Louis, MO 63137
Mailing Address1026 Villa St.cyrSaint Louis, MO 63137 · (314) 869-1977 · Fax (314) 869-1977
Fax(314) 869-1977
Organization SubpartNo
Authorized OfficialMonica GillespieDirect Support Professional · (314) 869-1977
Enumeration DateApril 2, 2008
NPI 1295907921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1026 VILLA ST.CYR, Saint Louis, MO 63137

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 Community Residential Supportive Living's NPI number?

The NPI number for Community Residential Supportive Living is 1295907921. It was assigned to this organization in the NPPES registry on April 2, 2008.

Where is Community Residential Supportive Living located?

Community Residential Supportive Living is located at 1026 Villa St.Cyr, Saint Louis, MO 63137. The listed phone number is (314) 869-1977.

What is Community Residential Supportive Living'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 Community Residential Supportive Living was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.