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ST ANTHONY'S PHYSICIAN ORGANIZATION SPECIALTY SERVICES LLC NPI 1932491263


NPI Information

NPI: 1932491263
Provider Name: ST ANTHONY'S PHYSICIAN ORGANIZATION SPECIALTY SERVICES LLC

Doing Business As: ST. ANTHONY'S LONG TERM CARE SPECIALISTS

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
12700 SOUTHFORK RD
SUITE 105
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 525-1887
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ST ANTHONY'S PHYSICIAN ORGANIZATION SPECIALTY SERVICES LLC is a nursing facility intermediate care facility in Saint Louis, MO. The provider is 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. ST ANTHONY'S PHYSICIAN ORGANIZATION SPECIALTY SERVICES LLC NPI is 1932491263. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Anthony's Long Term Care Specialists.

The provider's business location address is:

12700 SOUTHFORK RD
SUITE 105
SAINT LOUIS, MO
ZIP 63128-201
Phone: (314) 525-1887
Fax: (314) 525-1868

The provider's authorized official is David Morton .
The authorized official title is Cmo and has the following contact phone number (314) 525-1153.

The enumeration date for this NPI number is 5/4/2011 and was last updated on 10/12/2016.


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 FacilityNo
2314000000XSkilled Nursing FacilityNo
3313M00000XNursing Facility/Intermediate Care FacilityYes

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
1MA3809OTHERMISSOURIMEDICARE PTAN
2MA3810OTHERMISSOURIMEDICARE PTAN

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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