EBG HEALTH CARE II, INC. (NPI# 1558585240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558585240 |
| Entity Type | Organization |
| Organization Name | EBG HEALTH CARE II, INC. |
| Other Organization Name | ST. LOUIS AVENUE NURSING CENTER |
| Practice Address |
2900 N Prairie Ave Saint Louis MO 63107-2302 |
| Mailing Address |
1505 E Trafficway St Springfield MO 65802-3174 |
| Practice Telephone | 3146526111 |
| Practice Fax Number | 3146521575 |
| Mailing Telephone | 4178695522 |
| Mailing Fax Number | 4178317729 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CAROL L GOURLEY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4178695522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 031678 | MO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Louis Avenue Nursing Center | Doing Business As Name - Organization |
| Street Address |
2900 N PRAIRIE AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63107-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
| 1932515012 | Christopher L Adams | Counselor | 4220 North Grand Blvd, St.louis, MO 63107 | 2014-07-09 |
| 1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
| 1700209467 | Calvin Garner | Social Worker | 7018 Destrehan, St Louis, MO 63107 | 2014-01-30 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1518189141 | Excel Home Health Care | Chore Provider | 2125 Bissell St, St. Louis, MO 63107 | 2007-05-03 |
| 1407375314 | Shayla Dana Smith | Counselor | 4220 Grand Ave, St Louis, MO 63107 | 2017-09-12 |
| 1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
| Find all providers in zip 63107 | ||||
| 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 |
|---|---|---|---|---|
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1821472069 | Aperion Care Hidden Lake LLC | Skilled Nursing Facility | 11728 Hidden Lake Dr, Saint Louis, MO 63138-1757 | 2015-07-17 |
| 1023241023 | Genesis Rehab Services | Skilled Nursing Facility | 5022 Deville Ave, Saint Louis, MO 63119-4324 | 2009-08-25 |
| 1912197948 | Charla Deiter | Skilled Nursing Facility | 7733 Forsyth Blvd Ste 1700, Saint Louis, MO 63105-1801 | 2007-07-26 |
| 1356565030 | Ebg Health Care I, Inc. | Skilled Nursing Facility | 2939 Magazine St, Saint Louis, MO 63106-1245 | 2007-04-12 |
| 1003933607 | Mcknight Place Extended Care LLC | Skilled Nursing Facility | 2 Mcknight Pl, Saint Louis, MO 63124-1900 | 2007-03-26 |
| 1366570079 | St. Johns Place, Inc. | Skilled Nursing Facility | 3333 Brown Rd, Saint Louis, MO 63114-4327 | 2007-03-02 |
| 1134269301 | Gmg, Inc | Skilled Nursing Facility | 5000 S Broadway, Saint Louis, MO 63111-2015 | 2007-02-07 |
| 1720130701 | Ashby Road Inc. | Skilled Nursing Facility | 3060 Ashby Rd, Saint Louis, MO 63114-1342 | 2007-01-18 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63107 |
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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.