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BRENTMOOR DELMAR - SPVEF LLC NPI 1316252430


NPI Information

NPI: 1316252430
Provider Name: BRENTMOOR DELMAR - SPVEF, LLC

Doing Business As: BRENTMOOR RETIREMENT COMMUNITY

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

CLIA Number: 26D0926298

Address:
8600 DELMAR BLVD
12TH FLOOR
SAINT LOUIS, MO
ZIP 63124
Phone: (314) 994-0432
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BRENTMOOR DELMAR - SPVEF, LLC is an assisted living facility in Saint Louis, 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. BRENTMOOR DELMAR - SPVEF, LLC NPI is 1316252430. The provider is registered as an organization entity type.
The provider Is Doing Business As Brentmoor Retirement Community.

The provider's business location address is:

8600 DELMAR BLVD
12TH FLOOR
SAINT LOUIS, MO
ZIP 63124-973
Phone: (314) 994-0432
Fax: (314) 692-0836

The provider's authorized official is Barry Pessin .
The authorized official title is Member and has the following contact phone number (314) 994-0432.

The CLIA number assigned to this NPI record is 26D0926298 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 8/12/2010.


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 Facility037041MISSOURIYes

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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