OrganizationActive
Cedar Knoll Home
NPI 1104982545 · Assisted Living Facility · Saint James, MO
Provider details
- NPI number
- 1104982545
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Staples, Administrator(573) 265-3658
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13635 State Route V
Saint James, MO 65559-8331
Phone: (573) 265-3658
Fax: (573) 265-3658
Approximate (ZIP-level) locationGet directions
Mailing address
13635 State Route V
Saint James, MO 65559-8331
Other names (DBA / former)
- Other name
- Cedar Knollrcf II
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.