MRS. KATHLEEN LOUISE WIEGMAN (NPI# 1568629137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568629137 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN LOUISE WIEGMAN |
| Credential | COTA/L |
| Practice Address |
6768 N Us Highway 67 Florissant MO 63034-2742 |
| Mailing Address |
39 Pilot Hill Dr Saint Peters MO 63376-2739 |
| Practice Telephone | 3144133657 |
| Mailing Telephone | 6369222656 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 2007016351 | MO | Other Service Providers |
| Y | 314000000X | Skilled Nursing Facility | 2007016351 | MO | Nursing & Custodial Care Facilities |
| Street Address |
6768 N US HIGHWAY 67 |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63034-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124222013 | Sandra L Gamby-carey | Occupational Therapy Assistant | 6768 N Us Highway 67, Florissant, MO 63034-2742 | 2007-06-13 |
| 1598960122 | Roxanne Marie Delcau | Speech-Language Pathologist | 6768 N Us Highway 67, Florissant, MO 63034-2742 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1063061778 | Abundant Life Senior Care LLC | Registered Nurse | 15606 Brunswick Manor, Florissant, MO 63034 | 2019-09-05 |
| 1821583600 | Icu Cds | Home Health | 4069 Ashbury Crossing Dr, Florissant, MO 63034 | 2018-06-25 |
| 1700377280 | Taylormade Healthcare Services, LLC | Home Health | 39 Jost Manor Ct, Florissant, MO 63034 | 2018-05-21 |
| 1841797503 | Sherrel Nichole Townsend | Home Health Aide | 39 Jost Manor Ct., Florissant, MO 63034 | 2018-04-10 |
| 1902315757 | Active Care Home Health Services LLC | Home Health | 14115 Candlewyck, Florissant, MO 63034 | 2017-09-25 |
| 1932655297 | Tiaarra Hackett | Home Health Aide | 14420 Old Halls Ferry Road, Suite 201 A, Florissant, MO 63034 | 2016-08-28 |
| 1932552817 | Always Carings Home Health Care | Home Health | 3812 Ketucky Derby Drive, Florissant, MO 63034 | 2016-07-15 |
| 1881088516 | Frankie Young | Assisted Living Facility | 3812 Kentucky Derby Drive, Florissant, MO 63034 | 2015-03-19 |
| 1881036432 | Tawanta L Johnson | Nurse Practitioner | 3957 Albers Pointe Dr, Florissant, MO 63034 | 2013-07-24 |
| Find all providers in zip 63034 | ||||
| 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 | 63034 |
Please comment or provide details below to improve the information on MRS. KATHLEEN LOUISE WIEGMAN.
| 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.