ST. ELIZABETH HEALTHCARE AND REHABILITATION CENTER (NPI# 1871567503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871567503 |
| Entity Type | Organization |
| Organization Name | ST. ELIZABETH HEALTHCARE AND REHABILITATION CENTER |
| Practice Address |
11400 Mehl Ave Florissant MO 63033-7204 |
| Mailing Address |
7434 Skokie Blvd Skokie IL 60077-3341 |
| Practice Telephone | 3147413525 |
| Practice Fax Number | 3147413721 |
| Mailing Telephone | 8479822300 |
| Mailing Fax Number | 8479822304 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MOE HERMAN (COMPTROLLER) |
| Authorized Official Telephone | 8479822300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 030387 | MO | Nursing & Custodial Care Facilities |
| Street Address |
11400 MEHL AVE |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63033-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962747956 | Ashley C Westbrooks | Speech-Language Pathologist | 11400 Mehl Ave, Florissant, MO 63303 | 2012-12-03 |
| 1457608184 | Crestwood Care Center | Skilled Nursing Facility | 11400 Mehl Ave, Florissant, MO 63034 | 2012-08-13 |
| 1285995076 | Treva Hollis | Physical Therapy Assistant | 11400 Mehl Ave, Florissant, MO 63033-7204 | 2012-06-07 |
| 1013278183 | Faith Eileen Dowell | Occupational Therapy Assistant | 11400 Mehl Ave, Florissant, MO 63033-7204 | 2012-06-05 |
| 1801157904 | Brandy Nicole Haas | Physical Therapy Assistant | 11400 Mehl Ave, Florissant, MO 63033-7204 | 2012-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376191841 | Victoria Crews | Technician | 13114 Tree's Edge Ct, Black Jack, MO 63033 | 2019-08-28 |
| 1275195976 | Herbal Envy Spa LLC | Home Health Aide | 12630 Shoreside Drive, Florissant, MO 63033 | 2019-07-02 |
| 1689231169 | Patrice Edora Hall | Clinic/Center | 500 Greenway Manor, Florissant, MO 63033 | 2019-05-21 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1508344706 | Rekendra Farmer | Home Health | 3070 Kingsley Dr, Florissant, MO 63033 | 2018-07-31 |
| 1033616594 | B & J Consumer Directed Services | Home Health | 5 Farm Country Ct, Florissant, MO 63033 | 2018-04-11 |
| 1245740265 | Trusting Hands Home Health Services LLC | Home Health | 2430 Dresden Dr, Florissant, MO 63033 | 2017-10-04 |
| 1194243477 | Betty Moore | Registered Nurse | 2875 Devonshire Dr, Florissant, MO 63033 | 2017-09-06 |
| 1467976118 | Imperial Home Care, LLC | Home Health | 11674 Arroyo Dr, Florissant, MO 63033 | 2017-08-02 |
| 1194248492 | Apex Home Health Care Services LLC | Home Health | 3145 Kingsley Dr, Florissant, MO 63033 | 2017-07-19 |
| Find all providers in zip 63033 | ||||
| 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 |
| 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 |
| 1457608184 | Crestwood Care Center | Skilled Nursing Facility | 11400 Mehl Ave, Florissant, MO 63034 | 2012-08-13 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63033 |
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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.