Dutchtown Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030951 Issued in MO

Legal business name

DUTCHTOWN CARE CENTER INC

Doing business as

DUTCHTOWN CARE AND REHABILITATION CENTER

Practice address

3421 Gasconade St
Saint Louis, MO 63118-4201

Phone

(314) 832-4700

Fax

(314) 832-7177

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lily Landy

Title

Administrator

Phone

(314) 832-4700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• DUTCHTOWN CARE AND REHABILITATION CENTER Doing business as

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1790789204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 GASCONADE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184201",
            "telephone_number": "314-832-4700",
            "fax_number": "314-832-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 GASCONADE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184201",
            "telephone_number": "314-832-4700",
            "fax_number": "314-832-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCHTOWN CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LANDY",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-832-4700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "113207",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108598707",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "7184988",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUTCHTOWN CARE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Khristine Durzo, PNP
• David Andrew Dusek, M.D.
• Dennis A Dusek, M.D.
• Kortny Dusek, CPNP
• Lauren Dust, OD
• Dutchtown Medical Arts LLC
• Shourik Dutta, MD
• Kelsey Michelle Dutton, COTA/L
• Brynlee Grace Duty, OTR/L
• Byron V Duvall, DDS

• Skilled Nursing Facility in Saint Louis, MO
• Providers in Saint Louis, 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 Jun 24, 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.