LIVING LIFE LONG RESIDENTIAL CARE
NPI 1639854318
Assisted Living Facility - Assisted Living, Mental Illness in Saint Louis, MO

Q: What is Living Life Long Residential Care's NPI number?

The NPI number for Living Life Long Residential Care is 1639854318. It was assigned to this organization in the NPPES registry on June 20, 2023.

Q: What is Living Life Long Residential Care'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 June 20, 2023

5076 WATERMAN BLVD, SAINT LOUIS, MO 63108(314) 495-5498(866) 883-0221 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Living Life Long Residential Care NPPES

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

LIVING LIFE LONG RESIDENTIAL CARE (NPI 1639854318) is a healthcare organization registered as an assisted living, mental illness in Saint Louis, Missouri and active in the NPI registry since June 2023. The organization lists Sherrone L. Beatty, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1639854318

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameLIVING LIFE LONG RESIDENTIAL CARE

Location Address5076 WATERMAN BLVDSaint Louis, MO 63108-1102

Mailing Address303 Union Blvd Ste 300Saint Louis, MO 63108-4402 · (314) 495-5498 · Fax (866) 883-0221

Phone(314) 495-5498

Fax(866) 883-0221

Organization SubpartNo

Authorized OfficialSherrone L. BeattyManaging Partner · (314) 497-5284

Enumeration DateJune 20, 2023

NPPES CertifiedJune 20, 2023

✔ NPI 1639854318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedAssisted Living FacilityTaxonomy 310400000X

5076 WATERMAN BLVD, Saint Louis, MO 63108

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Other Providers at the Same Location NPPES

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

ALLWAYS KARE RESIDENTIAL FACILITY, INC

Assisted Living Facility (Assisted Living, Mental Illness)

5076 WATERMAN BLVD
SAINT LOUIS, MO 63108

St. Louis City (314) 367-9516

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 Living Life Long Residential Care's NPI number?

The NPI number for Living Life Long Residential Care is 1639854318. It was assigned to this organization in the NPPES registry on June 20, 2023.

Where is Living Life Long Residential Care located?

Living Life Long Residential Care is located at 5076 Waterman Blvd, Saint Louis, MO 63108. The listed phone number is (314) 495-5498.

What is Living Life Long Residential Care'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 Living Life Long Residential Care was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.