OrganizationActive
St. Louis Arc
NPI 1700062064 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Saint Louis, MO
Provider details
- NPI number
- 1700062064
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Tisone, Vp of Operations/Cfo(314) 569-2211
- License
- 103091 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 103091 (MO)
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 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
1816 Lackland Hill Pkwy
438 Glan Tai
Saint Louis, MO 63146-3507
Phone: (314) 569-2211
Street-level locationGet directions
Mailing address
1816 Lackland Hill Pkwy
Saint Louis, MO 63146-3507
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2008-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.