Forest Manor Health Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOREST MANOR HEALTH CARE CENTER LLC

Practice address

1301 Partridge Ave
Saint Louis, MO 63130-1944

Phone

(314) 862-1944

NPI assigned

Mar 6, 2026

Last updated

Mar 6, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard J. Destefane

Title

President

Phone

(314) 543-3805

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1003762691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CRAIG PARK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PARTRIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301944",
            "telephone_number": "314-862-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST MANOR HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-3805"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy L Ford, CRNA
• Melissa R Fore, M.D.
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Alyxandria Janae Foreman
• Forest Park Anesthesia, Inc
• Forest Park Critical Care LLC
• Forest Park Emergency Physicians LLC
• Forest Park Hospital Corp #1 (Ambulatory Care Center)
• Forest Park Hospital Corp #1 (Family Medicine of St Louis)

• Skilled Nursing Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.