Organization Active NPI

Rosewood Care Center of St Louis County, Inc

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1093710824
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031124 Issued in MO
Legal business name
ROSEWOOD CARE CENTER OF ST LOUIS COUNTY, INC
Practice address
11278 Schuetz Rd
Saint Louis, MO 63146-4957
Phone
(314) 991-4066
NPI assigned
Jun 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Larry Vander Maten
Title
President
Phone
(314) 994-9070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031124 MO Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1303580001 IL

Addresses

Primary practice location

11278 Schuetz Rd
Saint Louis, MO 63146-4957

Mailing address

11701 Borman Dr
Ste 315
Saint Louis, MO 63146-4194
Phone (314) 994-9070

National Provider Directory

National Provider Directory

Locations

11701 Borman Dr
Ste 315
Saint Louis, MO 63146

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1093710824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR",
            "address_2": "STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464194",
            "telephone_number": "314-994-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11278 SCHUETZ RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464957",
            "telephone_number": "314-991-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD CARE CENTER OF ST LOUIS COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VANDER MATEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-994-9070"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031124",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "1303580001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.