The Petrova House is a mental health clinic (Assisted Living Facility - Assisted Living, Mental Illness) in Jennings, Missouri. The current practice location for The Petrova House is 2407 Petrova Ave, Jennings, Missouri. For appointments, you can reach them via phone at (314) 580-3029. The mailing address for The Petrova House is 4166 Lindell Blvd Apt 1b, Saint Louis, Missouri and phone number is (314) 580-3029.
The Petrova House is licensed to practice in * (Not Available) (license number ) and its NPI number is 1477052058. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (314) 580-3029.
Assisted Living Facility - Assisted Living, Mental Illness
Location
2407 Petrova Ave, Jennings, Missouri
Authorized Official Name and Position
Marvin Shelton (CEO)
Authorized Official Contact
3145803029
Accepts Medicare Insurance
This clinic does not participate in Medicare Program.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
The Petrova House 4166 Lindell Blvd Apt 1b Saint Louis MO 63108-2923 Ph: (314) 580-3029
The Petrova House 2407 Petrova Ave Jennings MO 63136-3903 Ph: (314) 580-3029
NPI Details:
NPI Number
1477052058
Provider Enumeration Date
02/08/2018
Last Update Date
02/08/2018
Medical Identifiers
Medical identifiers for The Petrova House such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1477052058
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
101YA0400X
Counselor - Addiction (substance Use Disorder)
(* (Not Available))
Secondary
251B00000X
Case Management
(* (Not Available))
Secondary
253Z00000X
In Home Supportive Care
(* (Not Available))
Secondary
261QV0200X
Clinic/center - Va
(* (Not Available))
Secondary
3104A0625X
Assisted Living Facility - Assisted Living, Mental Illness
(* (Not Available))
Primary
3104A0630X
Assisted Living Facility - Assisted Living, Behavioral Disturbances
(* (Not Available))
Secondary
323P00000X
Psychiatric Residential Treatment Facility
(* (Not Available))
Secondary
324500000X
Substance Abuse Rehabilitation Facility
(* (Not Available))
Secondary
3336M0003X
Pharmacy - Managed Care Organization Pharmacy
(* (Not Available))
Secondary
Reviews and Comments
Assisted Living Facility in Jennings, MO
Aries Therapy & Coaching Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8420 Carl Ave, Jennings, MO 63136 Phone: 314-753-2507
Trinity Counseling Unified Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2519 Hord Ave, Jennings, MO 63136 Phone: 314-947-6665