<Unavail>

LBN: Cherokee Residential Care Llc
<Unavail> is an health care organization with primary practice located at 3409 Missouri Ave , Saint Louis MO 63118. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Cherokee Residential Care Llc can be contacted via phone (314) 368-3247, or through Gettman, Gregory Randal via phone (314) 368-3247.

Contact Information

Primary practice address
3409 Missouri Ave Saint Louis MO 63118
Phone: (314) 368-3247
Fax: (314) 771-1377
Website:
Map and Directions
Authorized official contact:
Name: Gettman, Gregory Randal NHA
Phone: (314) 368-3247

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 034514 Missouri
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 042586 Missouri

Profile Details

NPI number 1003083155
LBN Legal business name Cherokee Residential Care Llc
DBA Doing business as <Unavail>
Authorized official Gettman, Gregory Randal NHA
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2008
Last updated Nov 24th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003083155 NPPES
Missouri MEDICAID 266735109

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