HCR Manorcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2005009896 Issued in MO

Legal business name

HCR MANORCARE

Practice address

1200 Graham Rd
Florissant, MO 63031-8015

Phone

(314) 838-6555

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Colleen Michelle Higgins, OTR/L

Title

Otr/L

Phone

(314) 795-6473

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1740457951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 UNION BLVD APT 915",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081292",
            "telephone_number": "314-795-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GRAHAM RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318015",
            "telephone_number": "314-838-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCR MANORCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "314-795-6473",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2005009896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.