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FOUNTAINBLEAU NURSING CENTER NPI 1285752899


NPI Information

NPI: 1285752899
Provider Name: FOUNTAINBLEAU NURSING CENTER

Doing Business As: MALIK CORP. FOUNTAINBLEAU NURSING CENTER

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D0909286

Address:
1349 US HIGHWAY 61
FESTUS, MO
ZIP 63028
Phone: (636) 937-3500
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FOUNTAINBLEAU NURSING CENTER is an assisted living facility in Festus, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FOUNTAINBLEAU NURSING CENTER NPI is 1285752899. The provider is registered as an organization entity type.
The provider Is Doing Business As Malik Corp. Fountainbleau Nursing Center.

The provider's business location address is:

1349 US HIGHWAY 61
FESTUS, MO
ZIP 63028-107
Phone: (636) 937-3500
Fax: (636) 931-2646

The provider's authorized official is Shafiq M Malik .
The authorized official title is President and has the following contact phone number (573) 335-3044.

The CLIA number assigned to this NPI record is 26D0909286 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility032222MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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