St. Charles NH LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ST. CHARLES NH LLC

Doing business as

River Crossing of St. Charles

Practice address

850 Dunham Rd
St Charles, IL 60174-1494

Phone

(630) 443-6146

Fax

(630) 443-4461

NPI assigned

Dec 10, 2016

Last updated

Jun 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Mason

Title

President

Phone

(813) 347-7425

Specialties & licenses 1

Addresses

Other names 1

• River Crossing of St. Charles Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fal - Mountain Crest Inc.

  dba Mountain Crest Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1487839841

  Member Of

  NPD member

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1205370269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 DUNHAM RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 DUNHAM RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741494",
            "telephone_number": "630-443-6146",
            "fax_number": "630-443-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-10",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-347-7425"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Crossing of St. Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ashley Stalter

• Skilled Nursing Facility in St Charles, IL
• Providers in St Charles, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.