Ballwin Health Care LLC
Organization Active NPI Skilled Nursing Facility · Ballwin, MO
NPI 1376978627 · NPPES record last updated May 16, 2014
Key facts
- NPI
- 1376978627
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BALLWIN HEALTH CARE LLC
- Practice address
- 1441 Charic Dr
Ballwin, MO 63021-2001 - Phone
- (636) 394-2522
- Fax
- (636) 527-2218
- NPI assigned
- Sep 5, 2013
- Organization subpart
- No
Authorized official
- Name
- Kam McGavock
- Title
- President
- Phone
- (410) 773-1000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1441 Charic Dr
Ballwin, MO 63021-2001
Mailing address
920 Ridgebrook Rd
Sparks, MD 21152-9390
Phone (410) 773-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103733606 | Medicaid | MO |
Other names
- Ballwin Ridge Health & Rehabilitation
Other providers in Ballwin, MO
- Jay Scott Baker
- Rebecca J Baker
- Cynthia Renee Ballentine
- Ballwin Chiropractic Center, PC
- Ballwin Family Smiles, PLLC
- Ballwin Orthopedic Group, LLC
- Alan James Banaszynski
- Marissa Paulette Barbeau
- Derrick Bark
- Elaine Barnes
All providers in Ballwin, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.