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ST. LOUIS ALTENHEIM
NPI 1720104912
Nursing Facility/Intermediate Care Facility in Saint Louis, MO

Active since March 21, 2007CLIA 26D0914175 · Waiver
5408 S BROADWAY, SAINT LOUIS, MO 63111(314) 353-7225 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Louis Altenheim NPPES

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

ST. LOUIS ALTENHEIM (NPI 1720104912) is a healthcare organization registered as a nursing facility/intermediate care facility in Saint Louis, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Kathryn Clark, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720104912
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameST. LOUIS ALTENHEIM
Location Address5408 S BROADWAYSaint Louis, MO 63111-2023
Mailing Address5408 S BroadwaySaint Louis, MO 63111-2023 · (314) 353-7225
Phone(314) 353-7225
Organization SubpartNo
Authorized OfficialKathryn ClarkAdministrator · (314) 353-7225
Enumeration DateMarch 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720104912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in MO · 033769
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
5408 S BROADWAY, Saint Louis, MO 63111
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Other Identifiers 1

Other033769MO · License

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 26D0914175

St Louis Altenheim · Saint Louis, MO
Active · expires Apr 21, 2028
CLIA Number26D0914175
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorRainna Barnett
Laboratory Phone(314) 269-5319
Laboratory LocationSt Louis Altenheim5408 S Broadway, Saint Louis, MO 63111
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MALIK ST LOUIS LLC
Skilled Nursing Facility
5408 S BROADWAY
ST LOUIS, MO 63111
St. Louis City (314) 353-7225

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 Altenheim's NPI number?

The NPI number for St. Louis Altenheim is 1720104912. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is St. Louis Altenheim located?

St. Louis Altenheim is located at 5408 S Broadway, Saint Louis, MO 63111. The listed phone number is (314) 353-7225.

What is St. Louis Altenheim's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does St. Louis Altenheim hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0914175) is associated with this NPI, valid through April 21, 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 St. Louis Altenheim was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.