St. Louis Altenheim in Saint Louis - Nursing Facility/intermediate Care Facility

St. Louis Altenheim - NPI 1720104912

St. Louis Altenheim is a Nursing Facility/intermediate Care Facility in Saint Louis, Missouri. St. Louis Altenheim practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for St. Louis Altenheim is 1720104912. The last update date is 2020-08-22.

St. Louis Altenheim's current location address is 5408 S Broadway, Saint Louis, Missouri. You can contact this provider via phone number 3143537225. The mailing address for St. Louis Altenheim is 5408 S Broadway, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization St. Louis Altenheim
Address 5408 S Broadway, Saint Louis, Missouri
Phone Number 3143537225
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Clark Kathryn
Telephone Number 3143537225

NPI Number Detail

NPI Number 1720104912
Provider Enumeration Date 2007-03-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5408 S Broadway
City Saint Louis
State Missouri (MO)
Post Code 631112023
Phone Number 3143537225
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No 33769
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33769 MO LICENSE

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FAQs about St. Louis Altenheim

What is the unique identifier code issued to St. Louis Altenheim by the Centers for Medicare & Medicaid Services?

The St. Louis Altenheim has been assigned the NPI (National Provider Identifier) 1720104912. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where St. Louis Altenheim is physically located?

The St. Louis Altenheim is situated at the following address: 5408 S Broadway, Saint Louis, MO 631112023.

What is St. Louis Altenheim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for St. Louis Altenheim is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy classification code for this specialized field is 313M00000X.

On what date did the St. Louis Altenheim receive the assignment of its 1720104912 from the Centers for Medicare & Medicaid Services?

The St. Louis Altenheim was issued its 1720104912 by the Centers for Medicare & Medicaid Services on 2007-03-21.

As of what date was the information pertaining to St. Louis Altenheim, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to St. Louis Altenheim, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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