ST. LOUIS ALTENHEIM (NPI# 1720104912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720104912 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS ALTENHEIM |
| Practice Address |
5408 S Broadway Saint Louis MO 63111-2023 |
| Practice Telephone | 3143537225 |
| Mailing Telephone | 3143537225 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHRYN CLARK (ADMINISTRATOR) |
| Authorized Official Telephone | 3143537225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 033769 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 033769 | 01 |
| Street Address |
5408 S BROADWAY |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63111-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
| 1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
| 1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
| 1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
| 1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
| 1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
| 1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| Find all providers in zip 63111 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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 rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487975363 | Neighborhood Outreach Center | Nursing Facility/Intermediate Care Facility | 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 | 2010-06-15 |
| 1194843268 | Little Sisters of The Poor | Nursing Facility/Intermediate Care Facility | 3225 N Florissant Ave, Saint Louis, MO 63107-3521 | 2007-03-27 |
| 1609974013 | Alexian Brothers Lansdowne Village | Nursing Facility/Intermediate Care Facility | 4624 Lansdowne Ave, Saint Louis, MO 63116-1523 | 2006-09-20 |
| 1750815692 | Angela Townsend | Nursing Facility/Intermediate Care Facility | 4220 N Grand Blvd, Saint Louis, MO 63107-1831 | 2017-04-18 |
| 1174056196 | Tender Loving Care In Home Health Care | Nursing Facility/Intermediate Care Facility | 6651 Chippewa St Ste 308, Saint Louis, MO 63109 | 2017-04-06 |
| 1275994352 | Ohio Valley Christian Village, LLC | Nursing Facility/Intermediate Care Facility | 622 Emerson Rd, Saint Louis, MO 63141-6727 | 2016-03-16 |
| 1083857650 | Beauvais Manor | Nursing Facility/Intermediate Care Facility | 3625 Magnolia Ave, Saint Louis, MO 63110-4048 | 2009-04-13 |
| 1063602639 | Seema Najam Md | Nursing Facility/Intermediate Care Facility | 11125 Dunn Rd, Suite 411, Saint Louis, MO 63136-6132 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488075 | Anna's House Residential Care Facility LLC | Nursing Facility/Intermediate Care Facility | 194 State Highway Mm, Niangua, MO 65713-8411 | 2017-03-14 |
| 1841667565 | Univest, LLC | Nursing Facility/Intermediate Care Facility | 1401 W 3rd St, Sedalia, MO 65301-3603 | 2015-08-28 |
| 1417334137 | Holistic Healthcare LLC | Nursing Facility/Intermediate Care Facility | 4630 Robbins Grove Dr, Florissant, MO 63034-2840 | 2015-05-01 |
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1376893297 | Reliant Care Rehabilitative Services | Nursing Facility/Intermediate Care Facility | 411 Robert Ave, Ferguson, MO 63135-3526 | 2012-09-18 |
| 1205168523 | Nirmal K Samanta | Nursing Facility/Intermediate Care Facility | 250 Brandy Ln, Cape Girardeau, MO 63701-8443 | 2010-02-11 |
| 1083882682 | Crestwood Health Care Center, L.L.C. | Nursing Facility/Intermediate Care Facility | 11400 Mehl Avenue, Florissant, MO 63033-7204 | 2008-02-15 |
| 1225228455 | St Josephs Hill Infirmary Inc | Nursing Facility/Intermediate Care Facility | 265 St Joseph Road, Eureka, MO 63025-0550 | 2007-07-25 |
| 1316148026 | Jones Wildwood Care Center | Nursing Facility/Intermediate Care Facility | 12806 Highway 151, Madison, MO 65263-3114 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63111 |
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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.