Organization Active NPI

Benchmark Healthcare of Willowbrooke, LLC

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1629368477
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BENCHMARK HEALTHCARE OF WILLOWBROOKE, LLC
Practice address
2600 Redman Rd
Saint Louis, MO 63136-5863
Phone
(314) 355-8585
Fax
(314) 355-4645
NPI assigned
Apr 13, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. John M. Sells
Title
President
Phone
(636) 536-5365

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2600 Redman Rd
Saint Louis, MO 63136-5863

Mailing address

17826 Edison Ave
Chesterfield, MO 63005-1262
Phone (636) 449-1795

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2013.

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1629368477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17826 EDISON AVE",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051262",
            "telephone_number": "636-449-1795",
            "fax_number": "636-536-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 REDMAN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631365863",
            "telephone_number": "314-355-8585",
            "fax_number": "314-355-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK HEALTHCARE OF WILLOWBROOKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "SELLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-536-5365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.