Creve Coeur Manor Llc in Saint Louis - Skilled Nursing Facility
Creve Coeur Manor Llc - NPI 1194806109
Creve Coeur Manor Llc is a Skilled Nursing Facility in Saint Louis, Missouri. Creve Coeur Manor Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Creve Coeur Manor Llc is 1194806109. The last update date is 2013-12-17.
Creve Coeur Manor Llc's current location address is 1127 Timber Run Dr, Saint Louis, Missouri. You can contact this provider via phone number 3144348361 and fax number 3144347785. The mailing address for Creve Coeur Manor Llc is 1127 Timber Run Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creve Coeur Manor Llc |
|---|---|
| Address | 1127 Timber Run Dr, Saint Louis, Missouri |
| Phone Number | 3144348361 |
| Fax Number | 3144347785 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Shirshekan Sharo |
| Telephone Number | 5737010600 |
NPI Number Detail
| NPI Number | 1194806109 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2013-12-17 |
Provider Mailing Address Detail
| Address | 1127 Timber Run Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631464482 |
| Phone Number | 3144348361 |
| Fax Number | 3144347785 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 31651 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101486009 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Creve Coeur Manor Llc by the Centers for Medicare & Medicaid Services?
The Creve Coeur Manor Llc has been assigned the NPI (National Provider Identifier) 1194806109. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Creve Coeur Manor Llc is physically located?
The Creve Coeur Manor Llc is physically situated at the following address: 1127 Timber Run Dr, Saint Louis, MO, 631464482.
What is Creve Coeur Manor Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Creve Coeur Manor Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Creve Coeur Manor Llc receive its 1194806109 assignment from the Centers for Medicare & Medicaid Services?
The Creve Coeur Manor Llc was assigned its 1194806109 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date was the information pertaining to Creve Coeur Manor Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Creve Coeur Manor Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-12-17.