Garden Villas of O'Fallon, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

042170 Issued in MO

Legal business name

GARDEN VILLAS OF O'FALLON, LLC

Doing business as

Garden Villas of O'Fallon

Practice address

7092 S Outer Road 364
O Fallon, MO 63368-7701

Phone

(636) 240-5560

Fax

(636) 240-4995

NPI assigned

Aug 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gail Lee Hartmann

Title

Treasurer

Phone

(636) 733-7000

Specialties & licenses 1

Addresses

Other names 1

• Garden Villas of O'Fallon Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1619386034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD",
            "address_2": "SUITE 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "636-733-7000",
            "fax_number": "636-733-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7092 S OUTER ROAD 364",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687701",
            "telephone_number": "636-240-5560",
            "fax_number": "636-240-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN VILLAS OF O'FALLON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "HARTMANN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "636-733-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "042170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Villas of O'Fallon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kris L Gallina, CRNA
• Megan Marie Galloway, LPC
• Jennifer Gandolfo, OTR
• Marileana Garcia Corretjer, DDS
• Garden View Care Center, Inc.
• Makenzie Kaye Garrison, CNP
• Carol Wright Gasser, LPC
• Andrea Gast, CCC-SLP
• Gateway to Care Management LLC
• Karin Gauen, DPT

• Assisted Living Facility in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.