FLO-GP LEASING CO., LLC (NPI# 1437130747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437130747 |
| Entity Type | Organization |
| Organization Name | FLO-GP LEASING CO., LLC |
| Other Organization Name | CRYSTAL CREEK HEALTH AND REHABILITATION CENTER |
| Practice Address |
250 S New Florissant Rd Florissant MO 63031-6716 |
| Mailing Address |
4700 Ashwood Dr Suite 200 Cincinnati OH 45241-2465 |
| Practice Telephone | 3148382211 |
| Practice Fax Number | 3148385981 |
| Mailing Telephone | 5134897100 |
| Mailing Fax Number | 5135301359 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | JENNIFER CAMPBELL (DIRECTOR OF REIMBURSEMENTS) |
| Authorized Official Telephone | 5135301622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | 030945 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 107807703 | 05 |
| Other Name | Type Code |
|---|---|
| Crystal Creek Health and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
250 S NEW FLORISSANT RD |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-6716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073094900 | Rachael Schauwecker | Speech-Language Pathologist | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2018-08-28 |
| 1003287707 | Kelsey Lynn Yeary | Occupational Therapist | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2015-10-08 |
| 1568715811 | Tabatha Thomas | Occupational Therapist | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2012-10-24 |
| 1598018988 | Kathleen Frances Stecher | Speech-Language Pathologist | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2012-10-22 |
| 1801028956 | Genesis Rehab | Skilled Nursing Facility | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2009-08-21 |
| 1043440969 | Joseph William Griffey | Occupational Therapist | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2009-07-27 |
| 1841323177 | Janice Marie Schaefer | Physical Therapy Assistant | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2007-03-14 |
| 1992838098 | Michelle Newberry | Occupational Therapy Assistant | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| 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 |
|---|---|---|---|---|
| 1619287406 | Florissant Medical Investors LLC | Skilled Nursing Facility | 1201 Garden Plaza Drive, Florissant, MO 63033-2230 | 2010-10-14 |
| 1104059559 | Genesis Eldercare Rehab Services | Skilled Nursing Facility | 250 New Florissant Road, Florissant, MO 63031 | 2009-09-02 |
| 1669569042 | Tjw Management Inc | Skilled Nursing Facility | 1501 Charbonier Rd, Florissant, MO 63031-5308 | 2006-10-06 |
| 1255373957 | Manor Care of Florissant Mo LLC | Skilled Nursing Facility | 1200 Graham Rd, Florissant, MO 63031-8015 | 2006-06-10 |
| 1871567503 | St. Elizabeth Healthcare and Rehabilitation Center | Skilled Nursing Facility | 11400 Mehl Ave, Florissant, MO 63033-7204 | 2006-02-17 |
| 1962498162 | Cathedralrock | Skilled Nursing Facility | 615 Rancho Ln, Florissant, MO 63031-1717 | 2005-09-22 |
| 1952308298 | Eldercare of The Valley, Inc | Skilled Nursing Facility | 6768 N Highway 67, Florissant, MO 63034-2742 | 2005-07-01 |
| 1194722439 | Ladelle Investment Co., Inc. | Skilled Nursing Facility | 936 Charbonier Rd, Florissant, MO 63031-5220 | 2005-07-01 |
| 1770077463 | Florissant Healthcare, LLC | Skilled Nursing Facility | 1200 Graham Rd, Florissant, MO 63031-8015 | 2018-06-18 |
| 1801261375 | St. Sophia Healthcare, LLC | Skilled Nursing Facility | 936 Charbonier Rd, Florissant, MO 63031-5220 | 2015-12-09 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
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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.