OrganizationActive
Magdala Foundation
NPI 1619135993 · Intellectual Disabilities Intermediate Care Facility · Saint Louis, MO
Provider details
- NPI number
- 1619135993
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Magdala Foundation
- Organization subpart
- Yes
- Authorized official
- David Meyer, Executive Director(314) 652-6004
- License
- 2452 10040 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3900 Canterbury Dr
Saint Louis, MO 63121-2500
Phone: (314) 652-6004
Fax: (314) 652-8351
Street-level locationGet directions
Mailing address
4158 Lindell Blvd
Saint Louis, MO 63108-2914
Other names (DBA / former)
- Other name
- Canterbury
Registry dates
- Enumerated
- 2008-05-23
- Last updated
- 2008-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.