Active NPI
Arena Manor, Inc.
- Assisted Living Facility
- Saint Louis, MO
National Provider Identifier
1861549099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 032378
- Legal business name
- ARENA MANOR, INC.
- Practice address
- 2614 Utah St
Saint Louis, MO 63118-3103 - Phone
- (313) 773-3408
- Fax
- (314) 771-8699
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jodi Pate, PRESIDENT
- Title
- Director of Nursing
- Phone
- (314) 773-3408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 032378 | MO | Primary |
Addresses
Primary practice location
2614 Utah St
Saint Louis, MO 63118-3103
Mailing address
2614 Utah St
Saint Louis, MO 63118-3103
Phone (313) 773-3408
Other names 1
- Silver Spur
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0909709 | Silver Spur | Certificate of waiver | Dec 13, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861549099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2614 UTAH ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183103",
"telephone_number": "313-773-3408",
"fax_number": "314-771-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2614 UTAH ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183103",
"telephone_number": "313-773-3408",
"fax_number": "314-771-8699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARENA MANOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATE",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "DIRECTOR OF NURSING",
"authorized_official_telephone_number": "314-773-3408",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PRESIDENT"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MO",
"license": "032378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Silver Spur",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.