Cori Manor Healthcare & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

035712 Issued in MO

Legal business name

CORI MANOR HEALTHCARE & REHABILITATION CENTER, LLC

Doing business as

Cori Manor Healthcare & Rehabilitation Center

Practice address

560 Corisande Hills Rd
Fenton, MO 63026-5613

Phone

(636) 343-2282

NPI assigned

Jun 17, 2008

Last updated

Dec 15, 2010By 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

Mr. Makhlouf Suissa

Title

President

Phone

(314) 963-7570

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cori Manor Healthcare & Rehabilitation Center 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.

• Iqbal Amin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1184619835
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1821258443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CORISANDE HILLS RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265613",
            "telephone_number": "636-343-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CORISANDE HILLS RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265613",
            "telephone_number": "636-343-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORI MANOR HEALTHCARE & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "SUISSA",
        "authorized_official_first_name": "MAKHLOUF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-963-7570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "035712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102744604",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cori Manor Healthcare & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Concentra Health Services, Inc.
• Connect ABA Services LLC
• Hope Anna Cook, PLPC
• Sean Patrick Cooney, D.M.D.
• Ashley L Copes, PHARMD
• Cori Manor Nursing Home
• Adriana Juanita Corwin
• County Obstetrics & Gynecology, Inc
• Laura Michelle Covert, D.O.
• Covington Medical Group

• Skilled Nursing Facility in Fenton, MO
• Providers in Fenton, 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 Dec 15, 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.