Cplace St Charles SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CPLACE ST CHARLES SNF LLC

Doing business as

Carrington Place of St Charles

Practice address

2150 W Randolph St
Saint Charles, MO 63301-0844

Phone

(636) 946-4966

Fax

(636) 916-3386

NPI assigned

Oct 15, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Lynda S Hebbeln

Title

Cfo

Phone

(727) 797-5200

Specialties & licenses 1

Addresses

Other names 1

• Carrington Place of St Charles Doing business as

Tax ID family

Carrington Place of St Charles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Parkside Meadows Inc.

  • Skilled Nursing Facility
  • Saint Charles, MO
  • NPI 1770579500
  NPD tax ID

Locations

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1679901482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 10TH AVE N",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953416",
            "telephone_number": "727-797-5200",
            "fax_number": "727-797-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W RANDOLPH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633010844",
            "telephone_number": "636-946-4966",
            "fax_number": "636-916-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPLACE ST CHARLES SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "HEBBELN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-797-5200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrington Place of St Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Caregiving East LLC
• John R Cornett II, N.P.
• Deena S Cousins, LPC
• Austin Couture
• Aedryan Cox
• Marissa Crahan
• Christina Marie Crain, MS LPCLMHC NCC CCMHC
• Katherine Craven
• Allycia Nicole Crawford, LCSW
• Lisa Crawford

• Skilled Nursing Facility in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.