Active NPI
Benchmark Healthcare of Willowbrooke, LLC
- Skilled Nursing Facility
- Saint Louis, MO
National Provider Identifier
1629368477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.