St. Louis Altenheim

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

033769 Issued in MO

Legal business name

ST. LOUIS ALTENHEIM

Practice address

5408 S Broadway
Saint Louis, MO 63111-2023

Phone

(314) 353-7225

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Kathryn Clark

Title

Administrator

Phone

(314) 353-7225

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720104912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112023",
            "telephone_number": "314-353-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112023",
            "telephone_number": "314-353-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS ALTENHEIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-353-7225"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "033769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "033769",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nursing Facility/Intermediate Care Facility in Missouri

• 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.