Active NPI
Rosewood Care Center of St Louis County, Inc
- Skilled Nursing Facility
- Saint Louis, MO
National Provider Identifier
1093710824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 031124
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.