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ST CHARLES HABILITATION CENTER
NPI 1992913297
Intermediate Care Facility, Intellectual Disabilities in Saint Charles, MO

Active since May 18, 2007
22 MARR LN, SAINT CHARLES, MO 63303(636) 926-1300 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2020, Aug 23, 2019 (2 updates tracked since 2019).

About St Charles Habilitation Center NPPES

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

ST CHARLES HABILITATION CENTER (NPI 1992913297) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Saint Charles, Missouri and active in the NPI registry since May 2007. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1992913297
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF MISSOURI
Location Address22 MARR LNSaint Charles, MO 63303-9000
Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560
Phone(636) 926-1300
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1992913297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
22 MARR LN, Saint Charles, MO 63303
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Other Names 1

Doing Business AsSt Charles Habilitation Center

Other Identifiers 1

Medicaid052476801MO

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.

KAREN JOYCE FRANKLIN COTA
Occupational Therapy Assistant
22 MARR LN
SAINT CHARLES, MO 63303
St. Charles County (636) 926-1300
STATE OF MISSOURI
General Practice
22 MARR LN
SAINT CHARLES, MO 63303
St. Charles County (314) 340-6702

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 State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1992913297. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is doing business as St Charles Habilitation Center.

Where is State Of Missouri located?

State Of Missouri is located at 22 Marr Ln, Saint Charles, MO 63303. The listed phone number is (636) 926-1300.

What is State Of Missouri'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 State Of Missouri was last updated on August 26, 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.