THE PETROVA HOUSE
NPI 1477052058
Assisted Living Facility - Assisted Living, Mental Illness in Jennings, MO

Q: What is The Community Counseling & Housing Services's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since February 08, 2018

2407 PETROVA AVE, JENNINGS, MO 63136(314) 580-3029 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About The Petrova House NPPES

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

THE PETROVA HOUSE (NPI 1477052058) is a healthcare organization registered as an assisted living, mental illness in Jennings, Missouri and active in the NPI registry since February 2018. The organization lists Marvin Shelton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477052058

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameTHE COMMUNITY COUNSELING & HOUSING SERVICES

Location Address2407 PETROVA AVEJennings, MO 63136-3903

Mailing Address4166 Lindell Blvd Apt 1bSaint Louis, MO 63108-2923 · (314) 580-3029

Phone(314) 580-3029

Organization SubpartNo

Authorized OfficialMarvin SheltonCeo · (314) 580-3029

Enumeration DateFebruary 8, 2018

✔ NPI 1477052058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/Center · VATaxonomy 261QV0200X

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X

2407 PETROVA AVE, Jennings, MO 63136

Open in Google Maps ↗

Other Names 1

Other NameThe Petrova House

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 The Community Counseling & Housing Services's NPI number?

The NPI number for The Community Counseling & Housing Services is 1477052058. It was assigned to this organization in the NPPES registry on February 8, 2018. The provider is also known as The Petrova House.

Where is The Community Counseling & Housing Services located?

The Community Counseling & Housing Services is located at 2407 Petrova Ave, Jennings, MO 63136. The listed phone number is (314) 580-3029.

What is The Community Counseling & Housing Services's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for The Community Counseling & Housing Services was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.