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DOUBLE G LAND CO LLC NPI 1841609278


NPI Information

NPI: 1841609278
Provider Name: DOUBLE G LAND CO, LLC

Doing Business As: GARDEN VILLAS

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

CLIA Number: 26D2071709

Address:
13590 S OUTER 40 RD
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 434-2520
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DOUBLE G LAND CO, LLC is an assisted living facility in Chesterfield, 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. DOUBLE G LAND CO, LLC NPI is 1841609278. The provider is registered as an organization entity type.
The provider Is Doing Business As Garden Villas.

The provider's business location address is:

13590 S OUTER 40 RD
CHESTERFIELD, MO
ZIP 63017-823
Phone: (314) 434-2520
Fax: (314) 434-4223

The provider's authorized official is Gail Lee Hartmann .
The authorized official title is Treasurer and has the following contact phone number (636) 733-7000.

The CLIA number assigned to this NPI record is 26D2071709 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2014 and was last updated on 8/11/2014.


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 Facility041944MISSOURIYes

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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