Double G Land Co, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

041944 Issued in MO

Legal business name

DOUBLE G LAND CO, LLC

Doing business as

Garden Villas

Practice address

13590 S Outer 40 Rd
Chesterfield, MO 63017-5823

Phone

(314) 434-2520

Fax

(314) 434-4223

NPI assigned

Aug 11, 2014

Last updated

Aug 11, 2014By 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. Gail Lee Hartmann

Title

Treasurer

Phone

(636) 733-7000

Specialties & licenses 1

Addresses

Other names 1

• Garden Villas Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1841609278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD",
            "address_2": "SUITE 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "636-733-7000",
            "fax_number": "636-733-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175823",
            "telephone_number": "314-434-2520",
            "fax_number": "314-434-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE G LAND CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "HARTMANN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "636-733-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "041944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Villas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorothy Jean Comprehensive Transportation Services LLC
• Andrew Louis Dorough
• Emily Anne Dorsam, MAC
• Pooja Manjula Swamy Dorward, M.D.
• Catherine J Doty, MD
• Douglas M Fesler Ma LPC
• Rhonda Leonora Douglas
• Stephen M Douglas, P.T.
• Connie Marie Dove, BCBA
• Edward F Downey, DO

• Assisted Living Facility in Chesterfield, MO
• Providers in Chesterfield, 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 Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.