Covenant House Missouri

LBN: Covenant House Missouri
Covenant House Missouri is an health care organization with primary practice located at 2727 N Kingshighway Blvd , Saint Louis MO 63113-1006. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Covenant House Missouri can be contacted via phone (314) 450-7667, or through Kersting, Kristina R via phone (314) 450-7667.

Contact Information

Primary practice address
2727 N Kingshighway Blvd Saint Louis MO 63113-1006
Phone: (314) 450-7667
Fax: (314) 454-0005
Website:
Map and Directions
Authorized official contact:
Name: Kersting, Kristina R MALPC
Phone: (314) 450-7667

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 2004036418 Missouri

Profile Details

NPI number 1467781393
LBN Legal business name Covenant House Missouri
DBA Doing business as
Authorized official Kersting, Kristina R MALPC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2009
Last updated Dec 24th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467781393 NPPES
Missouri MEDICAID 499019503
Missouri Other 1457324485

Popular Providers