NPIMap

Organization Active NPI

Mid Ameriaca Health Care

  • Skilled Nursing Facility
  • Fenton, MO
National Provider Identifier
1679654420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MID AMERIACA HEALTH CARE
Practice address
1749 Gilsinn LN
Fenton, MO 63026-2003
Phone
(636) 349-2311
NPI assigned
Oct 18, 2006
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. Greg Spence
Title
Chief Financial Officer
Phone
(636) 349-2311

Specialties & licenses 1

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

Addresses

Primary practice location

1749 Gilsinn LN
Fenton, MO 63026-2003

Mailing address

100 Woodland MNR
Arnold, MO 63010-2030
Phone (636) 296-1400

Other names 1

  • woodland manor nursing home 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.

Locations

1749 Gilsinn Ln
Fenton, MO 63026
Phone (636) 343-3839

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679654420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODLAND MNR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102030",
            "telephone_number": "636-296-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 GILSINN LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262003",
            "telephone_number": "636-349-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERIACA HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "636-349-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "woodland manor nursing home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, 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.