Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Friendship Village of South County

Organization Assisted Living Facility · NPI 1477544104

Friendship Village of South County is an Assisted Living Facility in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
Specialties on file
2

Practice location Address checks out

12651 Village Circle Dr
Saint Louis, MO 63127-1778
Phone: (314) 842-6840
Fax: (314) 525-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 030733 (MO)
Assisted Living Facility Taxonomy 310400000X · Licence 030527 (MO)

Record details

NPI number1477544104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sue Champion — Officer · (314) 842-6840
NPI enumeratedNovember 2, 2005
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020
Mailing address12651 Village Circle Dr, Saint Louis, MO 63127-1778

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