Provider Demographics
NPI:1306831011
Name:ST. ANDREWS RESOURCES FOR SENIORS
Entity Type:Organization
Organization Name:ST. ANDREWS RESOURCES FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAGLER-REID
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:314-576-5545
Mailing Address - Street 1:307 S WOODS MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3418
Mailing Address - Country:US
Mailing Address - Phone:314-576-5545
Mailing Address - Fax:314-576-1354
Practice Address - Street 1:307 S WOODS MILL RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3418
Practice Address - Country:US
Practice Address - Phone:314-576-5545
Practice Address - Fax:314-576-1354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO031036310400000X
MO031035314000000X
314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO265791Medicare Oscar/Certification