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MAGDALA FOUNDATION
NPI 1962576033
Intermediate Care Facility, Intellectual Disabilities in Saint Louis, MO

Active since November 20, 2006
3148 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139(314) 571-9950 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Magdala Foundation NPPES

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

MAGDALA FOUNDATION (NPI 1962576033) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Saint Louis, Missouri and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Saint Louis and lists Thomas Mangogna, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1962576033
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMAGDALA FOUNDATION
Location Address3148 S KINGSHIGHWAY BLVDSaint Louis, MO 63139-1118
Mailing Address4158 Lindell BlvdSaint Louis, MO 63108-2914 · (314) 652-6004 · Fax (314) 652-8351
Phone(314) 571-9950
Organization SubpartNo
Authorized OfficialThomas MangognaPresident/ceo · (314) 652-6004
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1962576033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Licenses✔ Licensed in MO · 2452-10042✔ Licensed in MO · 2452-10039✔ Licensed in MO · 2452-10040✔ Licensed in MO · 2452-10041
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 2452, 1460-7235 (MO)
3148 S KINGSHIGHWAY BLVD, Saint Louis, MO 63139
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Secondary Practice Location 1

Location 14158 Lindell BlvdSaint Louis, MO 63108-2914 · Phone (314) 652-6004 ext. 3008 · Fax (314) 652-8351

Other Identifiers 5

Medicaid852098805MO
Medicaid112364401MO
Medicaid112364500MO
Medicaid112182704MO
Medicaid112182605MO

Other Providers at the Same Location NPPES 2

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

MICHAEL A FALLWELL OT
Occupational Therapist
3148 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 664-4448
LAWRENCE WILFONG COTA/L
Occupational Therapy Assistant
3148 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 664-4448

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 Magdala Foundation's NPI number?

The NPI number for Magdala Foundation is 1962576033. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Magdala Foundation located?

Magdala Foundation is located at 3148 S Kingshighway Blvd, Saint Louis, MO 63139. The listed phone number is (314) 571-9950.

What is Magdala Foundation's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Magdala Foundation was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.