Union Manor Residential Care Facility

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

034758 Issued in MO

Legal business name

UNION MANOR RESIDENTIAL CARE FACILITY

Practice address

2711 Union Blvd
Saint Louis, MO 63113-1003

Phone

(314) 383-7310

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Alma Cook, CNA, L1MA

Title

Facility Owner

Phone

(314) 361-1792

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Angels Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Angels Adult Day Care

  • Adult Care Home Facility
  • Saint Louis, MO
  • NPI 1043587736
  NPD tax ID

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1013195478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131003",
            "telephone_number": "314-383-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131003",
            "telephone_number": "314-383-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MANOR RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "FACILITY OWNER",
        "authorized_official_telephone_number": "314-361-1792",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA, L1MA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "034758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.