Alexian Brothers Lansdowne Village

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

030896 Issued in MO

Legal business name

ALEXIAN BROTHERS LANSDOWNE VILLAGE

Practice address

4624 Lansdowne Ave
Saint Louis, MO 63116-1523

Phone

(314) 351-6888

Fax

(314) 351-5825

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy M Seelbach

Title

Director of Accounts Receivable

Phone

(314) 880-8938

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1609974013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 LANSDOWNE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161523",
            "telephone_number": "314-351-6888",
            "fax_number": "314-351-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 LANSDOWNE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161523",
            "telephone_number": "314-351-6888",
            "fax_number": "314-351-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIAN BROTHERS LANSDOWNE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "SEELBACH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "314-880-8938",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "030896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10262200",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102622008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roshonda Alexander, RMA
• Samantha Alexander, LCSW
• Shauncia Renee Alexander, RRT
• Alexian Brothers Comm SVCS Pharmacy
• Alexian Brothers Community Services of St. Louis
• Alexian Brothers Sherbrooke Village
• Georgios Alexopoulos, MD
• Alfa Serenity Adult Daycare LLC
• Alfa Serenity IHS LLC
• Alfa Serenity LLC

• Nursing Facility/Intermediate Care Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nursing Facility/Intermediate Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.