Grand Manor Nursing & Rehabilitation Center, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

265717 Issued in MO

Legal business name

GRAND MANOR NURSING & REHABILITATION CENTER, L.L.C.

Practice address

3645 Cook Ave
Saint Louis, MO 63113-3801

Phone

(314) 531-2352

Fax

(314) 531-7140

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Makhlouf Suissa

Title

Member

Phone

(314) 531-2352

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdullah Arshad, MD

  • Internal Medicine Physician
  • Hayti, MO
  • NPI 1477660637
  NPD (past)
• Baolin Fan, MD

  • Internal Medicine Physician
  • St Louis, MO
  • NPI 1568568897
  NPD (past)
• Zahirul Haque, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1578536546
  NPD (past)
• Christopher T. Labonte, MD

  • Internal Medicine Physician
  • Town and Country, MO
  • NPI 1093813099
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1194765529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 COOK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133801",
            "telephone_number": "314-531-2352",
            "fax_number": "314-531-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 COOK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133801",
            "telephone_number": "314-531-2352",
            "fax_number": "314-531-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MANOR NURSING & REHABILITATION CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SUISSA",
        "authorized_official_first_name": "MAKHLOUF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-531-2352"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "265717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Grana, MA OTR/L, LBA, BCBA
• Jorge Granadillo de Luque, MD
• Rachel Elizabeth Granberg, MD, MPH
• Steven J Granberg, MD
• Grand Manor Health Care Center, L.L.C.
• Grand Manor SNF Opco LLC
• Grand Medical Group LLC
• Mark Gilbert Grand, MD
• Allyson M Granden, NP-C
• Laura Granderson

• 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 Nov 27, 2007; 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.