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ST. LOUIS ARC
NPI 1669658910
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hazelwood, MO

Active since January 17, 2008
714 CARRIAGE LN, HAZELWOOD, MO 63042(314) 817-2207 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Louis Arc NPPES

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

ST. LOUIS ARC (NPI 1669658910) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Hazelwood, Missouri and active in the NPI registry since January 2008. The organization lists Kathleen Anne Tisone, Vp Operations/cfo, as its authorized official.

NPPES Registry Identity

NPI1669658910
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameST. LOUIS ARC
Location Address714 CARRIAGE LNHazelwood, MO 63042-3452
Mailing Address1177 N Warson RdSaint Louis, MO 63132-1810
Phone(314) 817-2207
Organization SubpartNo
Authorized OfficialKathleen Anne TisoneVp Operations/cfo · (314) 817-2207
Enumeration DateJanuary 17, 2008
Last NPPES UpdateJune 12, 2012
✔ NPI 1669658910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MO · 103091
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
714 CARRIAGE LN, Hazelwood, MO 63042
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Other Identifiers 1

Medicaid852998301MO

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 St. Louis Arc's NPI number?

The NPI number for St. Louis Arc is 1669658910. It was assigned to this organization in the NPPES registry on January 17, 2008.

Where is St. Louis Arc located?

St. Louis Arc is located at 714 Carriage Ln, Hazelwood, MO 63042. The listed phone number is (314) 817-2207.

What is St. Louis Arc'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 St. Louis Arc was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.