Organization Active NPI

Spring Manor LLC

  • Assisted Living Facility (Mental Illness)
  • Saint Louis, MO
National Provider Identifier
1225464001
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
041208 Issued in MO
Legal business name
SPRING MANOR LLC
Practice address
3610 Palm St.
Apt/Suite
Saint Louis, MO 63107
Phone
(314) 533-3111
Fax
(314) 533-3120
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Saleh Malik
Title
President
Phone
(314) 265-6634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 041208 MO Primary

Addresses

Primary practice location

3610 Palm St.
Apt/Suite
Saint Louis, MO 63107

Mailing address

2931 N Spring Ave
Apt/Suite
Saint Louis, MO 63107-2306
Phone (314) 533-3111

National Provider Directory

National Provider Directory

Locations

3610 Palm St
Saint Louis, MO 63107
Phone (314) 533-3111

2931 N Spring Ave
Saint Louis, MO 63107

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1225464001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 N SPRING AVE",
            "address_2": "APT/SUITE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631072306",
            "telephone_number": "314-533-3111",
            "fax_number": "314-533-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 PALM ST.",
            "address_2": "APT/SUITE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63107",
            "telephone_number": "314-533-3111",
            "fax_number": "314-533-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-265-6634"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "041208",
            "primary": true
        }
    ],
    "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 Sep 24, 2013; 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.