Bellefontaine Gardens Nursing & Rehab, Inc.
Organization Active NPI Skilled Nursing Facility · Saint Louis, MO
NPI 1710973136 · NPPES record last updated Nov 3, 2011
Key facts
- NPI
- 1710973136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 030826 (MO)
- Legal business name
- BELLEFONTAINE GARDENS NURSING & REHAB, INC.
- Practice address
- 9500 Bellefontaine Rd
Saint Louis, MO 63137-1336 - Phone
- (314) 388-0796
- Fax
- (314) 388-2654
- NPI assigned
- Sep 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. James C Lincoln
- Title
- Shareholder
- Phone
- (573) 746-7100
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030826 | MO | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17401305 | Other | MO | STATE ID |
| 102972700 | Medicaid | MO |
Other names
- Bellefontaine Gardens Nursing & Rehab
Other providers in Saint Louis, MO
- Bella Home Care LLC
- Bella Marie Home Health Agency, LLC
- McKenna Cathleen Bellamy
- Brittany Bellcase
- Bellefontaine Gardens Health Care Center LLC
- Juliette Jene Beller
- Brooke M Bellers
- Bellevue Diagnosticians Inc.
- Bellevue Radiology Inc
- Bellevue Surgical Associates, P. C.
All providers in Saint Louis, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.