NPIMap

Organization Active NPI

The Cedars of Town and Country, LLC

  • Skilled Nursing Facility
  • Chesterfield, MO
National Provider Identifier
1285908426
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE CEDARS OF TOWN AND COUNTRY, LLC
Practice address
13190 S Outer 40 Rd
Chesterfield, MO 63017-5917
Phone
(314) 434-3330
Fax
(314) 434-9179
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Makhlouf Suissa
Title
Member/Manager of LLC
Phone
(917) 744-8688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

13190 S Outer 40 Rd
Chesterfield, MO 63017-5917

Mailing address

13190 S Outer 40 Rd
Chesterfield, MO 63017-5917
Phone (314) 434-3330

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Senior Services19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1285908426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "314-434-3330",
            "fax_number": "314-434-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "314-434-3330",
            "fax_number": "314-434-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CEDARS OF TOWN AND COUNTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "SUISSA",
        "authorized_official_first_name": "MAKHLOUF",
        "authorized_official_title_or_position": "MEMBER/MANAGER OF LLC",
        "authorized_official_telephone_number": "917-744-8688"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.