St. Francois Manor, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

032091 Issued in MO

Legal business name

ST. FRANCOIS MANOR, INC

Practice address

765 Weber Rd
Farmington, MO 63640-3318

Phone

(573) 701-0600

Fax

(573) 701-0601

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sharo Shirshekan

Title

Ceo/Managing Member

Phone

(573) 701-0600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942385158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 OLD JACKSON RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403428",
            "telephone_number": "573-760-1700",
            "fax_number": "573-760-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403318",
            "telephone_number": "573-701-0600",
            "fax_number": "573-701-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCOIS MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIRSHEKAN",
        "authorized_official_first_name": "SHARO",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "573-701-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Francois County Ambulance District
• St. Francois County Ambulance District
• St. Francois County Board for the Developmentally Disabled
• St. Francois County Board for the Developmentally Disabled
• St. Francois County Board for the Developmentally Disabled
• St. Louis JC Vamc
• Jazmine Stacker
• Rachelle Lee Stacy
• Sheila Stacy, LNHA
• Catherine Alane Stamm, RPH

• Assisted Living Facility in Farmington, MO
• Providers in Farmington, 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 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.