Windsor Estates of St Charles Snal, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINDSOR ESTATES OF ST CHARLES SNAL, LLC

Doing business as

Windsor Estates of St Charles SNAL, LLC

Practice address

2150 W Randoplph St
St Charles, MO 63301-8738

Phone

(636) 946-4966

NPI assigned

Sep 15, 2015

Last updated

Apr 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Helen Lacek

Title

Coo

Phone

(708) 670-4737

Specialties & licenses 1

Addresses

Other names 1

• Windsor Estates of St Charles SNAL, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manuel Le-Yeng San, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1245443548
  NPD (past)

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1750759270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W RANDOLPH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633010844",
            "telephone_number": "636-946-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W RANDOPLPH ST",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "633018738",
            "telephone_number": "636-946-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR ESTATES OF ST CHARLES SNAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "LACEK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "708-670-4737"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Estates of St Charles SNAL, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windsor Estates of St Charles SNAL, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Wilson, P.T.
• Michael Wilson
• Shannon Wilson
• William Wilson
• Sophia Nadine Windross-Hardy, MSN, RN
• Virginia Avahnel Wingler, APRN
• Cherice Wings
• Jessalyn Wininger, LPC
• Theresa Ann Winkler
• Aaron Rey Winston, PA-C

• Skilled Nursing Facility in Saint Charles, MO
• Providers in Saint Charles, 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 Apr 23, 2021; 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.