MEDICARE: MCCB TRANSITIONS, INC.

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	ERO19908010	MO
2	320800000X	Mental Illness Community Based Residential Treatment Facility	ERO19908010	MO

General Provider Information

NPI Number	:	1861665846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCB TRANSITIONS, INC.

Provider Business Mailing Address
First Line	:	4110 SAINT LOUIS AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-3218
Country	:	US
Telephone Number	:	314-371-1657
Fax Number	:	314-371-4333

Provider Business Practice Location Address
First Line	:	4110 SAINT LOUIS AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-3218
Country	:	US
Telephone Number	:	314-371-1657
Fax Number	:	314-371-4333

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. MARY L BARFIELD
Credential	:
Telephone Number	:	314-371-1657

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	04/10/2008

Similar Medicare Providers

1598834327 — DEW D SERVICES
Practice Location Address:

4102 SAINT LOUIS AVE
SAINT LOUIS, MO
63115-3218

Practice Phone: 314-535-3388
Practice Fax: 314-531-0830

1396863031 — MCCB TRANSITIONS, INC.
Practice Location Address:

4110 SAINT LOUIS AVE
SAINT LOUIS, MO
63115-3218

Practice Phone: 314-371-1657
Practice Fax: 314-371-1657

1366646481 — MCCB TRANSITIONS, INC.
Practice Location Address:

4110 SAINT LOUIS AVE
SAINT LOUIS, MO
63115-3218

Practice Phone: 314-371-1657
Practice Fax: 314-371-4333

1649444977 — DEW D SERVICES
Practice Location Address:

4100 SAINT LOUIS AVE
SAINT LOUIS, MO
63115-3218

Practice Phone: 314-535-3388
Practice Fax: 314-535-3388

1508950841 — DR. JOANNE L. LACEY MD
Practice Location Address:

108 FRONTENAC FRST
SAINT LOUIS, MO
63131-3218

Practice Phone: 314-497-2368
Practice Fax:

1225789639 — NICOLE S MCCULLOUGH
Practice Location Address:

3218 LOUIS ST
FRANKLIN PARK, IL
60131-1804

Practice Phone: 773-553-9648
Practice Fax:

Directions to “MCCB TRANSITIONS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.