Palladian Creve Coeur LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PALLADIAN CREVE COEUR LLC

Practice address

1127 Timber Run Dr
Saint Louis, MO 63146-4482

Phone

(314) 434-8361

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Michael Jason Mills

Title

Cfo

Phone

(314) 317-2003

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265720

Legal name

PALLADIAN CREVE COEUR LLC

Doing business as

CREVE COEUR MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 2007

Last certification

Nov 20, 2024

Beds

149

Ownership / control type

Limited Liability Corporation

Multi-facility organization

PALLADIAN MANAGEMENT

Most recent change of ownership

Oct 1, 2022

Organization structure

LLCProprietary

Incorporated

Oct 5, 2021 in IL

Enrollment address

1127 Timber Run Dr
Saint Louis, MO 63146-4482

Nursing home name

CREVE COEUR MANOR

Affiliated entity

PALLADIAN HEALTHCARE

Listed as

Creve Coeur ManorCCN 265720

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

14977.8 residents per day on average

Chain

Palladian Healthcare6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zahirul Haque, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1578536546
  NPD (past)
• Christopher T. Labonte, MD

  • Internal Medicine Physician
  • Town and Country, MO
  • NPI 1093813099
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Christopher T. Labonte, MD

  • Internal Medicine Physician
  • Town and Country, MO
  • NPI 1093813099

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1326709502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW PLAZA DR STE 712",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630742222",
            "telephone_number": "314-317-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 TIMBER RUN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464482",
            "telephone_number": "314-434-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLADIAN CREVE COEUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-317-2003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sai Prashanth Babu Palepu, MD
• Frank L Paletta, MD
• Grace L Paley, MD
• Michael A Paley, MD
• Allison Rose Palisch, PNP
• Palladian Ucity LLC
• Emma Frances Palleja, LCSW
• Jennifer Ann Pallone, RN
• Nicholas Andrew Pallotta, MD
• Palm Integrative Medicine, PC

• Skilled Nursing Facility in Saint Louis, MO
• Providers in Saint Louis, 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 Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.