MIZPAH MANOR
NPI 1508056425
Assisted Living Facility in Bridgeton, MO

Q: What is Mizpah Assisted Living Services's NPI number?

The NPI number for Mizpah Assisted Living Services is 1508056425. It was assigned to this organization in the NPPES registry on July 26, 2007. The provider is doing business as Mizpah Manor.

Q: What is Mizpah Assisted Living Services's specialty?

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

Active since July 26, 2007

11325 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044(314) 209-1177(314) 738-0777 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Mizpah Manor NPPES

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

MIZPAH MANOR (NPI 1508056425) is a healthcare organization registered as an assisted living facility in Bridgeton, Missouri and active in the NPI registry since July 2007. The organization lists Julie Klein, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508056425

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMIZPAH ASSISTED LIVING SERVICES

Location Address11325 SAINT CHARLES ROCK RDBridgeton, MO 63044-2722

Mailing Address11325 Saint Charles Rock RdBridgeton, MO 63044-2722 · (314) 209-1177 · Fax (314) 738-0777

Phone(314) 209-1177

Fax(314) 738-0777

Organization SubpartNo

Authorized OfficialJulie KleinAdministrator · (314) 209-1177

Enumeration DateJuly 26, 2007

✔ NPI 1508056425 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 · 032466

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.

11325 SAINT CHARLES ROCK RD, Bridgeton, MO 63044

Open in Google Maps ↗

Other Names 1

Doing Business AsMizpah Manor

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEIDE BRISIBE EHIMARE M.D.

Psychiatry & Neurology (Psychiatry)

11325 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044

St. Louis County (636) 825-2200

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 Mizpah Assisted Living Services's NPI number?

The NPI number for Mizpah Assisted Living Services is 1508056425. It was assigned to this organization in the NPPES registry on July 26, 2007. The provider is doing business as Mizpah Manor.

Where is Mizpah Assisted Living Services located?

Mizpah Assisted Living Services is located at 11325 Saint Charles Rock Rd, Bridgeton, MO 63044. The listed phone number is (314) 209-1177.

What is Mizpah Assisted Living Services's specialty?

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

When was this NPI record last updated?

The NPPES record for Mizpah Assisted Living Services was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.