Dubourg House

LBN: Residencial Services Corporation
Dubourg House is an health care organization with primary practice located at 5890 Eichelberger , St Louis MO 63109. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Residencial Services Corporation can be contacted via phone (314) 752-1901, or through Bonness, Jacqueline J via phone (314) 361-8000.

Contact Information

Primary practice address
5890 Eichelberger St Louis MO 63109
Phone: (314) 752-1901
Fax: (314) 752-0572
Website:
Map and Directions
Authorized official contact:
Name: Bonness, Jacqueline J CPA
Phone: (314) 361-8000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 032709 Missouri

Profile Details

NPI number 1649339771
LBN Legal business name Residencial Services Corporation
DBA Doing business as Dubourg House
Authorized official Bonness, Jacqueline J CPA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Sep 3rd, 2008 - about 18 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 1649339771 NPPES
Missouri MEDICAID 266741701

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