Organization Active NPI

West County Regional Rehab Center, LLC

  • Skilled Nursing Facility
  • Chesterfield, MO
National Provider Identifier
1801116207
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST COUNTY REGIONAL REHAB CENTER, LLC
Practice address
13190 S Outer 40 Rd
Chesterfield, MO 63017-5917
Phone
(314) 434-3330
Fax
(314) 434-9179
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Ms. Marya Morrison
Title
Cfo
Phone
(727) 723-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

13190 S Outer 40 Rd
Chesterfield, MO 63017-5917

Mailing address

13190 S Outer 40 Rd
Chesterfield, MO 63017-5917
Phone (314) 434-3330

Other identifiers 1

IdentifierTypeStateIssuer
101488203MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1801116207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "314-434-3330",
            "fax_number": "314-434-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "314-434-3330",
            "fax_number": "314-434-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COUNTY REGIONAL REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "MARYA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-723-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101488203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.