MEDICARE: LITTLE SISTERS OF THE POOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility		MO

General Provider Information

NPI Number	:	1194843268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE SISTERS OF THE POOR

Provider Business Mailing Address
First Line	:	3225 N FLORISSANT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63107-3521
Country	:	US
Telephone Number	:	314-421-6022
Fax Number	:	314-421-5936

Provider Business Practice Location Address
First Line	:	3225 N FLORISSANT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63107-3521
Country	:	US
Telephone Number	:	314-421-6022
Fax Number	:	314-421-5936

Authorized Official
Title or Position	:	PRESIDENT OF THE CORPORATION
Name	:	SR. MARY SYLVIA KARL
Credential	:
Telephone Number	:	314-421-6022

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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Directions to “LITTLE SISTERS OF THE POOR ” Practice Location

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