R. Development, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030570 Issued in MO

Legal business name

R. DEVELOPMENT, INC

Doing business as

Avalon Garden

Practice address

4359 Taft Ave
Saint Louis, MO 63116-1533

Phone

(314) 752-2022

Fax

(314) 752-7679

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle S. Hassan, RN

Title

Administrator

Phone

(314) 752-2022

Specialties & licenses 1

Addresses

Other names 1

• Avalon Garden Doing business as

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922007277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 TAFT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161533",
            "telephone_number": "314-752-2022",
            "fax_number": "314-752-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 TAFT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161533",
            "telephone_number": "314-752-2022",
            "fax_number": "314-752-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. DEVELOPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-752-2022",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Garden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 22, 2020; 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.