St. Elizabeth Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031788 Issued in MO

Legal business name

ST. ELIZABETH CARE CENTER, INC.

Practice address

649 S Walnut St
St Elizabeth, MO 65075-2440

Phone

(573) 493-2215

Fax

(573) 493-2712

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Jerry Doerhoff

Title

Administrator

Phone

(573) 493-2215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1245293182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S WALNUT ST",
            "city": "ST ELIZABETH",
            "state": "MO",
            "postal_code": "650752440",
            "telephone_number": "573-493-2215",
            "fax_number": "573-493-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 S WALNUT ST",
            "city": "ST ELIZABETH",
            "state": "MO",
            "postal_code": "650752440",
            "telephone_number": "573-493-2215",
            "fax_number": "573-493-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ELIZABETH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "DOERHOFF",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-493-2215"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lerilee S. Huhman, SLP-CCC
• Tosha Jaegers
• Mma Healthcare of St. Elizabeth, Inc.
• Artezia Monroe
• Donna Ellen Simmons, MS, CCC-SPL
• St. Elizabeth R-IV School
• St. Elizabeth SNF Opco LLC

• Skilled Nursing Facility in St Elizabeth, MO
• Providers in St Elizabeth, 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 Sep 11, 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.