Organization Active NPI

Bellefontaine Gardens Nursing & Rehab, Inc.

Doing business as Bellefontaine Gardens Nursing & Rehab

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1710973136
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030826 Issued in MO
Legal business name
BELLEFONTAINE GARDENS NURSING & REHAB, INC.
Doing business as
Bellefontaine Gardens Nursing & Rehab
Practice address
9500 Bellefontaine Rd
Saint Louis, MO 63137-1336
Phone
(314) 388-0796
Fax
(314) 388-2654
NPI assigned
Sep 21, 2005
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Mr. James C Lincoln
Title
Shareholder
Phone
(573) 746-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030826 MO Primary

Addresses

Primary practice location

9500 Bellefontaine Rd
Saint Louis, MO 63137-1336

Mailing address

9500 Bellefontaine Rd
Saint Louis, MO 63137-1336
Phone (314) 388-0796

Other names 1

  • Bellefontaine Gardens Nursing & Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1710973136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 BELLEFONTAINE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371336",
            "telephone_number": "314-388-0796",
            "fax_number": "314-388-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BELLEFONTAINE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371336",
            "telephone_number": "314-388-0796",
            "fax_number": "314-388-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTAINE GARDENS NURSING & REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "573-746-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefontaine Gardens Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2011; 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.