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St. Louis Altenheim
Nursing Facility/Intermediate Care Facility in Saint Louis, Missouri
NPI 1720104912

St. Louis Altenheim is a Nursing Facility/Intermediate Care Facility based in Saint Louis, MO. St. Louis Altenheim practices in Saint Louis, MO. The NPI Number for St. Louis Altenheim is 1720104912 and holds a License No. 033769 (Missouri).

The current practice location address for St. Louis Altenheim is 5408 S Broadway, Saint Louis, MO and can be reached out via phone at 314-353-7225.

Location: 5408 S Broadway, Saint Louis, MO, 63111-2023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720104912
Provider Name
St. Louis Altenheim
Credential
Provider Entity Type
Organization
Address
5408 S Broadway, Saint Louis, MO, 63111-2023
Phone Number
314-353-7225
Fax Number
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
033769 01 MO LICENSE
institution
Provider Business Practice Location Address Details
Address
5408 S Broadway
City
Saint Louis
State
Missouri
Zip
63111-2023
Phone Number
314-353-7225
Fax Number
person
Provider Business Mailing Address Details
Address
5408 S Broadway
City
Saint Louis
State
Missouri
Zip
63111-2023
Phone Number
314-353-7225
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
033769 (Missouri)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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