Florissant Medical Investors LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FLORISSANT MEDICAL INVESTORS LLC

Doing business as

HealthBridge St. Louis

Practice address

1201 Garden Plaza Drive
Florissant, MO 63033-2230

Phone

(636) 536-0285

Fax

(636) 536-9450

NPI assigned

Oct 14, 2010

Last updated

May 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cliff R Heeley

Title

Project Manager

Phone

(704) 458-3366

Specialties & licenses 1

Addresses

Other names 1

• HealthBridge St. Louis Doing business as

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1619287406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GARDEN PLAZA DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GARDEN PLAZA DRIVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332230",
            "telephone_number": "636-536-0285",
            "fax_number": "636-536-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORISSANT MEDICAL INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2021-05-05",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "HEELEY",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "704-458-3366"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBridge St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Florissant Skilled Nursing, LLC (Lakeview Post Acute)

• Skilled Nursing Facility in Florissant, MO
• Providers in Florissant, 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 May 5, 2021; 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.