BETHESDA LONG TERM CARE, INC (NPI# 1376842211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376842211 |
| Entity Type | Organization |
| Organization Name | BETHESDA LONG TERM CARE, INC |
| Other Organization Name | ADULT DAY CARE AT CHARLESS VILLAGE |
| Practice Address |
5943 Telegraph Rd Saint Louis MO 63129-4715 |
| Practice Telephone | 3148462000 |
| Practice Fax Number | 3148462004 |
| Mailing Telephone | 3148462000 |
| Mailing Fax Number | 3148462004 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | MR. JOSEPH J BRINKER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3148001986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 296168602 | 05 |
| Other Name | Type Code |
|---|---|
| Adult Day Care at Charless Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588942346 | Bethesda Long Term Care, Inc | Skilled Nursing Facility | 1630 Des Peres Rd, Suite 290, Saint Louis, MO 63131-1800 | 2011-07-28 |
| 1114993391 | Bethesda Long Term Care, Inc | Skilled Nursing Facility | 9645 Big Bend Blvd, Saint Louis, MO 63122-6521 | 2006-02-27 |
| Street Address |
5943 TELEGRAPH RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750357950 | Bethesda Long Term Care, Inc. | Skilled Nursing Facility | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2006-02-27 |
| 1144719899 | Jennifer Kathleen Marr | Occupational Therapist | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2018-05-08 |
| 1497131940 | Alaina Maria Smith | Occupational Therapist | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2015-08-07 |
| 1073902847 | Kandice Hardney | Occupational Therapist | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2015-01-16 |
| 1396008975 | Arleen B Stryshak | Physical Therapist | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2012-06-19 |
| 1093099657 | Ann Kelly Schnitzmeier | Occupational Therapist | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2011-09-30 |
| 1154605905 | Anne T Cribbin | Physical Therapist | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2011-09-28 |
| 1649469065 | James Pau. Landolt | Occupational Therapist | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2007-10-22 |
| 1669667531 | Jill Christine Surmeier | Physical Therapist | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2007-09-12 |
| 1467652362 | Jennifer A Mancuso | Occupational Therapy Assistant | 5943 Telegraph Rd, Saint Louis, MO 63129-4715 | 2007-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1821472069 | Aperion Care Hidden Lake LLC | Skilled Nursing Facility | 11728 Hidden Lake Dr, Saint Louis, MO 63138-1757 | 2015-07-17 |
| 1023241023 | Genesis Rehab Services | Skilled Nursing Facility | 5022 Deville Ave, Saint Louis, MO 63119-4324 | 2009-08-25 |
| 1912197948 | Charla Deiter | Skilled Nursing Facility | 7733 Forsyth Blvd Ste 1700, Saint Louis, MO 63105-1801 | 2007-07-26 |
| 1356565030 | Ebg Health Care I, Inc. | Skilled Nursing Facility | 2939 Magazine St, Saint Louis, MO 63106-1245 | 2007-04-12 |
| 1558585240 | Ebg Health Care II, Inc. | Skilled Nursing Facility | 2900 N Prairie Ave, Saint Louis, MO 63107-2302 | 2007-04-12 |
| 1003933607 | Mcknight Place Extended Care LLC | Skilled Nursing Facility | 2 Mcknight Pl, Saint Louis, MO 63124-1900 | 2007-03-26 |
| 1366570079 | St. Johns Place, Inc. | Skilled Nursing Facility | 3333 Brown Rd, Saint Louis, MO 63114-4327 | 2007-03-02 |
| 1134269301 | Gmg, Inc | Skilled Nursing Facility | 5000 S Broadway, Saint Louis, MO 63111-2015 | 2007-02-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.