Cori Manor Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORI MANOR NURSING HOME

Practice address

560 Corisande Hill Rd
Fenton, MO 63026-5613

Phone

(636) 343-2282

Fax

(636) 343-1848

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Vicky Schmidleutner

Title

Administrator

Phone

(636) 343-2282

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1689669665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CORISANDE HILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265613",
            "telephone_number": "636-343-2282",
            "fax_number": "636-343-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CORISANDE HILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265613",
            "telephone_number": "636-343-2282",
            "fax_number": "636-343-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORI MANOR NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHMIDLEUTNER",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-343-2282",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102744604",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connect ABA Services LLC
• Hope Anna Cook, PLPC
• Sean Patrick Cooney, D.M.D.
• Ashley L Copes, PHARMD
• Cori Manor Healthcare & Rehabilitation Center, LLC
• County Obstetrics & Gynecology, Inc
• Laura Michelle Covert, D.O.
• Covington Medical Group
• Jeffrey Creamer II, MA, PLPC, NCC
• Jake Joseph Cromwell, DC

• Skilled Nursing Facility in Fenton, MO
• Providers in Fenton, 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 Aug 8, 2008; 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.