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COLONIAL HOUSE OF CRYSTAL CITY, LLC
NPI 1962644401
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Crystal City, MO

Active since March 30, 2009
26 MISSISSIPPI AVE, CRYSTAL CITY, MO 63019(636) 937-1000(636) 937-1003 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colonial House Of Crystal City, Llc NPPES

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

COLONIAL HOUSE OF CRYSTAL CITY, LLC (NPI 1962644401), doing business as Colonial House Of Crystal City, is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Crystal City, Missouri and active in the NPI registry since March 2009. The organization lists Alysha Lynn Sauer, Member, as its authorized official.

NPPES Registry Identity

NPI1962644401
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCOLONIAL HOUSE OF CRYSTAL CITY, LLC
Location Address26 MISSISSIPPI AVECrystal City, MO 63019-1817
Mailing Address115 West AveFestus, MO 63028-1733 · (636) 933-4911 · Fax (636) 933-9550
Phone(636) 937-1000
Fax(636) 937-1003
Organization SubpartNo
Authorized OfficialAlysha Lynn SauerMember · (636) 933-4911
Enumeration DateMarch 30, 2009
✔ NPI 1962644401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
26 MISSISSIPPI AVE, Crystal City, MO 63019
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Other Names 1

Former Legal Business NameColonial House Of Crystal City

Other Providers at the Same Location NPPES

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

DMP ENTERPRISES, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
26 MISSISSIPPI AVE
CRYSTAL CITY, MO 63019
Jefferson County (636) 933-4714

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 Colonial House Of Crystal City, LLC's NPI number?

The NPI number for Colonial House Of Crystal City, LLC is 1962644401. It was assigned to this organization in the NPPES registry on March 30, 2009. The provider was formerly known as Colonial House Of Crystal City.

Where is Colonial House Of Crystal City, LLC located?

Colonial House Of Crystal City, LLC is located at 26 Mississippi Ave, Crystal City, MO 63019. The listed phone number is (636) 937-1000.

What is Colonial House Of Crystal City, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Colonial House Of Crystal City, LLC was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.