Brentmoor Delmar - Spvef, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

037041 Issued in MO

Legal business name

BRENTMOOR DELMAR - SPVEF, LLC

Doing business as

Brentmoor Retirement Community

Practice address

8600 Delmar Blvd
12TH Floor
Saint Louis, MO 63124-1973

Phone

(314) 994-0432

Fax

(314) 692-0836

NPI assigned

Aug 12, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Barry Pessin

Title

Member

Phone

(314) 994-0432

Specialties & licenses 1

Addresses

Other names 1

• Brentmoor Retirement Community Doing business as

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1316252430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 DELMAR BLVD",
            "address_2": "12TH FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241973",
            "telephone_number": "314-994-0432",
            "fax_number": "314-692-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 DELMAR BLVD",
            "address_2": "12TH FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241973",
            "telephone_number": "314-994-0432",
            "fax_number": "314-692-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTMOOR DELMAR - SPVEF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "PESSIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-994-0432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "037041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentmoor Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Brenner, MD
• Stephan Brenner, MD
• Steven Robert Brenner, M.D.
• Brent R Palmer LC
• Nicole Brentlinger
• Brentmoor Retirement Community
• Brentwood Family Chiropractic Center, LLC
• Brentwood Family Dental Center, LLC
• Brentwood Painstop LLC
• Brentwood Pediatrics PC

• Assisted Living Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.