Superior Manor of Downtown LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

044590 Issued in MO

Legal business name

SUPERIOR MANOR OF DOWNTOWN LLC

Practice address

1501 Clinton St.
St Louis, MO 63106

Phone

(314) 376-5000

NPI assigned

Dec 7, 2016

Last updated

Dec 7, 2016By 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

Sara Nicole Winbush

Title

Manager

Phone

31449889102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1770027997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CLINTON ST.",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CLINTON ST.",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63106",
            "telephone_number": "314-376-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MANOR OF DOWNTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "WINBUSH",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "31449889102"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "044590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Healthcare Physical Medicine of West County, LLC
• Superior Healthcare Services LLC
• Superior Healthplan Community Solutions, Inc.
• Superior Home Health Services
• Superior in Home Services LLC
• Lynn Supple, PSYD
• Supplemental Health Care
• Supplemental Health Care
• Supplemental Medical Services (StaffLink)
• Supplemental Medical Services (StaffLink)

• Assisted Living Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.