GARDEN VILLAS OF O'FALLON
NPI 1619386034
Assisted Living Facility in O Fallon, MO

Q: What is Garden Villas Of O'fallon, LLC's NPI number?

The NPI number for Garden Villas Of O'fallon, LLC is 1619386034. It was assigned to this organization in the NPPES registry on August 11, 2014. The provider is doing business as Garden Villas Of O'fallon.

Q: What is Garden Villas Of O'fallon, LLC's specialty?

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

Active since August 11, 2014CLIA 26D2071715 · Waiver

7092 S OUTER ROAD 364, O FALLON, MO 63368(636) 240-5560(636) 240-4995 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Garden Villas Of O'fallon NPPES

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

GARDEN VILLAS OF O'FALLON (NPI 1619386034) is a healthcare organization registered as an assisted living facility in O Fallon, Missouri and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Gail Lee Hartmann, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1619386034

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGARDEN VILLAS OF O'FALLON, LLC

Location Address7092 S OUTER ROAD 364O Fallon, MO 63368-7701

Mailing Address14805 N Outer 40 Rd, Suite 300Chesterfield, MO 63017-6060 · (636) 733-7000 · Fax (636) 733-7010

Phone(636) 240-5560

Fax(636) 240-4995

Organization SubpartNo

Authorized OfficialGail Lee HartmannTreasurer · (636) 733-7000

Enumeration DateAugust 11, 2014

✔ NPI 1619386034 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 · 042170

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.

7092 S OUTER ROAD 364, O Fallon, MO 63368

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Other Names 1

Doing Business AsGarden Villas Of O'fallon

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 26D2071715

Garden Villas Of O'fallon · O Fallon, MO

Active · expires Jan 16, 2028

CLIA Number26D2071715

Laboratory TypeIndependent

Certificate Effective DateJanuary 17, 2026

Certificate Expiration DateJanuary 16, 2028

Laboratory DirectorBabu Dandamudi

Laboratory Phone(636) 240-5560

Laboratory LocationGarden Villas Of O'fallon7092 South Outer 364, O Fallon, MO 63368

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Garden Villas Of O'fallon, LLC's NPI number?

The NPI number for Garden Villas Of O'fallon, LLC is 1619386034. It was assigned to this organization in the NPPES registry on August 11, 2014. The provider is doing business as Garden Villas Of O'fallon.

Where is Garden Villas Of O'fallon, LLC located?

Garden Villas Of O'fallon, LLC is located at 7092 S Outer Road 364, O Fallon, MO 63368. The listed phone number is (636) 240-5560.

What is Garden Villas Of O'fallon, LLC's specialty?

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

Does Garden Villas Of O'fallon, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2071715) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Garden Villas Of O'fallon, LLC was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.