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FRIENDSHIP VILLAGE OF WEST COUNTY NPI 1386635910


NPI Information

NPI: 1386635910
Provider Name: FRIENDSHIP VILLAGE OF WEST COUNTY

Doing Business As: FRIENDSHIP VILLAGE CHESTERFIELD

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 26D2268466

Address:
15250 VILLAGE VIEW DRIVE
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 532-1515
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FRIENDSHIP VILLAGE OF WEST COUNTY is a skilled nursing facility in Chesterfield, MO. The provider is (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. FRIENDSHIP VILLAGE OF WEST COUNTY NPI is 1386635910. The provider is registered as an organization entity type.
The provider Is Doing Business As Friendship Village Chesterfield.

The provider's business location address is:

15250 VILLAGE VIEW DRIVE
CHESTERFIELD, MO
ZIP 63017-810
Phone: (636) 532-1515
Fax: (636) 733-0139

The provider's authorized official is Sue Champion .
The authorized official title is Officer and has the following contact phone number (314) 270-7810.

The CLIA number assigned to this NPI record is 26D2268466 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 10/1/2020.


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
1314000000XSkilled Nursing Facility031648MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101486603MEDICAIDMISSOURI
2031648OTHERMISSOURISTATE LICENSE

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: 4/28/2024

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