SENIORTRUST OF CHARLEVOIX, LLC (NPI# 1093760886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093760886 |
| Entity Type | Organization |
| Organization Name | SENIORTRUST OF CHARLEVOIX, LLC |
| Practice Address |
1221 Boones Lick Rd Saint Charles MO 63301-2328 |
| Practice Telephone | 6369466140 |
| Mailing Telephone | 6369466140 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT WEBB (PRESIDENT) |
| Authorized Official Telephone | 6158932749 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 031526 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BC BS MO | 155063 | 01 |
| GHP ADVANTRA | 229216 | 01 | |
| UNITED HEALTH CARE | 7100076 | 01 | |
| MERCY | 265160 | 01 |
| Street Address |
1221 BOONES LICK RD |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780923318 | N & R of St Charles LLC | Skilled Nursing Facility | 1221 Boones Lick Rd, Saint Charles, MO 63301-2328 | 2013-02-01 |
| 1568554442 | Andrea Elizabeth Binion | Occupational Therapist | 1221 Boones Lick Rd, Saint Charles, MO 63301-2328 | 2006-09-29 |
| 1508958562 | Noreen Marie Schneider | Physical Therapist | 1221 Boones Lick Rd, Saint Charles, MO 63301-2328 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811399827 | Pioneer Healthcare Services | Skilled Nursing Facility | 3218 Saint Joan Ln, Saint Charles, MO 63301-4451 | 2014-09-22 |
| 1376696294 | Cathedral Rock of St Charles Inc | Skilled Nursing Facility | 2840 W Clay St, Saint Charles, MO 63301-2536 | 2007-01-22 |
| 1912932534 | Nhc Healthcare-st. Charles LLC | Skilled Nursing Facility | 35 Sugar Maple Ln, Saint Charles, MO 63303-5740 | 2006-07-12 |
| 1770579500 | Parkside Meadows Inc. | Skilled Nursing Facility | 2150 W Randolph St, Saint Charles, MO 63301-0844 | 2005-09-27 |
| 1538659297 | Srz Op Frontier LLC | Skilled Nursing Facility | 2840 W Clay St, Saint Charles, MO 63301-2536 | 2018-05-17 |
| 1841735578 | Nsh Whitewater LLC | Skilled Nursing Facility | 525 Bluff Ave, Saint Charles, MN 55972-1325 | 2017-01-04 |
| 1679901482 | Cplace St Charles Snf LLC | Skilled Nursing Facility | 2150 W Randolph St, Saint Charles, MO 63301-0844 | 2013-10-15 |
| 1306271655 | St Charles Health Care LLC | Skilled Nursing Facility | 2840 W Clay St, Saint Charles, MO 63301-2536 | 2013-09-05 |
| 1780923318 | N & R of St Charles LLC | Skilled Nursing Facility | 1221 Boones Lick Rd, Saint Charles, MO 63301-2328 | 2013-02-01 |
| 1003106840 | Benchmark Healthcare of St Charles, LLC | Skilled Nursing Facility | 2840 W Clay St, Saint Charles, MO 63301-2536 | 2011-04-13 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.