NPIMap

Organization Active NPI

Mid America Healthcare LP

  • Skilled Nursing Facility
  • Arnold, MO
National Provider Identifier
1639154032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031718 Issued in MO
Legal business name
MID AMERICA HEALTHCARE LP
Practice address
100 Woodland Court
Arnold, MO 63010
Phone
(636) 296-1400
Fax
(636) 296-2064
NPI assigned
Dec 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles J Riley I
Title
Managing Partner
Phone
(636) 349-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031718 MO Primary

Addresses

Primary practice location

100 Woodland Court
Arnold, MO 63010

Mailing address

1749 Gilsinn LN
Fenton, MO 63026-2003
Phone (636) 349-2311

Other names 1

  • The Woodlands Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mid America Healthcare LP4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639154032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 GILSINN LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262003",
            "telephone_number": "636-349-2311",
            "fax_number": "636-349-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODLAND COURT",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "63010",
            "telephone_number": "636-296-1400",
            "fax_number": "636-296-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA HEALTHCARE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "636-349-2311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Woodlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.