St Peters Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

036143 Issued in MO

Legal business name

ST PETERS OPERATIONS LLC

Practice address

5400 Executive Center Pkwy
St Peters, MO 63376-2594

Phone

(636) 922-7600

Fax

(636) 922-7677

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Paula Pierce

Title

Authorized Officer

Phone

(972) 899-4401

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Villages of St Peters Doing business as

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1366615007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS RIDGE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576011",
            "telephone_number": "972-899-4401",
            "fax_number": "972-899-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 EXECUTIVE CENTER PKWY",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633762594",
            "telephone_number": "636-922-7600",
            "fax_number": "636-922-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERS OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "972-899-4401"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "036142",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "036143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366615007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villages of St Peters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Charles County Orthodontics P.C.
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• St Peters Ambulatory Surgery Center, LLC
• St Peters Bone & Joint Surgery Inc.
• St Peters Family Medicine, LLC
• St Peters Operator LLC
• St Peters Residential, LLC
• St Peters Vision Center Inc
• St. Charles Assisted Living, LLC
• St. Charles County Ambulance District

• Skilled Nursing Facility in St Peters, MO
• Providers in St Peters, 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 Jan 13, 2011; 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.