Skip to content
NPISignal

Organization

The Community Counseling & Housing Services

NPI Record: ActiveAssisted Living Facility — Assisted Living, Mental Illness
NPI1477052058
Jennings, Missouri

Provider's NPPES record last updated: February 8, 2018

Overview

Entity Type
Organization
NPI
1477052058
Primary Specialty
Assisted Living Facility — Assisted Living, Mental Illness
Practice Location
Jennings, Missouri
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 11:51 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Assisted Living Facility

    Assisted Living, Mental Illness

    Nursing & Custodial Care Facilities

    Primary

    A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

    Taxonomy code 3104A0625X
  • Counselor

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YA0400X
  • Case Management

    Agencies

    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

    Taxonomy code 251B00000X
  • In Home Supportive Care

    Agencies

    An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

    Taxonomy code 253Z00000X
  • Clinic/Center

    VA

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QV0200X
  • Assisted Living Facility

    Assisted Living, Behavioral Disturbances

    Nursing & Custodial Care Facilities

    A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

    Taxonomy code 3104A0630X
  • Psychiatric Residential Treatment Facility

    Residential Treatment Facilities

    A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

    Taxonomy code 323P00000X
  • Substance Abuse Rehabilitation Facility

    Residential Treatment Facilities

    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

    Taxonomy code 324500000X
  • Pharmacy

    Managed Care Organization Pharmacy

    Suppliers

    A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

    Taxonomy code 3336M0003X

Practice Locations

Practice Location

2407 Petrova Ave

Jennings, Missouri 63136-3903

Phone: (314) 580-3029

Other Names

  • The Petrova HouseReported February 8, 2018

Record Information

Enumeration Date
February 8, 2018
Provider's NPPES Record Last Updated
February 8, 2018
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue