Siro Op Royal Oak LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SIRO OP ROYAL OAK LLC

Practice address

4960 Laclede Ave
Saint Louis, MO 63108-1404

Phone

(314) 361-6240

Fax

(314) 361-6682

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Samuel Goldner

Title

Authorized Official

Phone

(516) 727-1634

Specialties & licenses 1

Addresses

Other names 1

• Royal Oak Nursing & Rehab Doing business as

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1447719059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HERRICK DR",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591528",
            "telephone_number": "516-727-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 LACLEDE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081404",
            "telephone_number": "314-361-6240",
            "fax_number": "314-361-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRO OP ROYAL OAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "516-727-1634"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oak Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roslyn Sipp
• Vivian Ann Sipp, COTA
• Terri Lynn Sippel, WHNP
• Samantha Sipple, MSW, LCSW
• Kimberly S Sirl, PH.D.
• Emily Cara Sirois
• Michelle Klara Siroko, MSW, LCSW
• Renee Marie Sirtak, RN
• Betty Sisco, P.A.
• Kathleen A Sisco, PNP

• 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 14, 2019; 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.