Ladelle Investment Co., Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

028885 Issued in MO

Legal business name

LADELLE INVESTMENT CO., INC.

Practice address

936 Charbonier Rd
Florissant, MO 63031-5220

Phone

(314) 831-4800

Fax

(314) 831-1310

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dennis G Menos

Title

Corporate Secretary

Phone

(314) 821-7007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ST. SOPHIA HEALTH & REHABILITATION CENTER Doing business as

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1194722439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 N KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631223911",
            "telephone_number": "314-821-7007",
            "fax_number": "314-821-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 CHARBONIER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315220",
            "telephone_number": "314-831-4800",
            "fax_number": "314-831-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADELLE INVESTMENT CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "MENOS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "314-821-7007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "028885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101495000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. SOPHIA HEALTH & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sean Landgraf

• Skilled Nursing Facility in Florissant, MO
• Providers in Florissant, 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 24, 2014; 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.