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BEAUVAIS MANOR
NPI 1083857650
Nursing Facility/Intermediate Care Facility in Saint Louis, MO

Active since April 13, 2009CLIA 26D0438696 · Waiver
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110(314) 771-2990(314) 771-7790 Get Directions Write a Review

NPPES record last updated: April 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beauvais Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUVAIS MANOR (NPI 1083857650) is a healthcare organization registered as a nursing facility/intermediate care facility in Saint Louis, Missouri and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marlene Elaine Moore, Rehab Tech., as its authorized official.

NPPES Registry Identity

NPI1083857650
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameBEAUVAIS MANOR
Location Address3625 MAGNOLIA AVESaint Louis, MO 63110-4048
Mailing Address3625 Magnolia AveSaint Louis, MO 63110-4048 · (314) 771-2990 · Fax (314) 771-7790
Phone(314) 771-2990
Fax(314) 771-7790
Organization SubpartNo
Authorized OfficialMarlene Elaine MooreRehab Tech. · (314) 771-2990
Enumeration DateApril 13, 2009
✔ NPI 1083857650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
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.
3625 MAGNOLIA AVE, Saint Louis, MO 63110
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0438696

Beauvais Manor Health Care And Rehabilitation Center, LLC · Saint Louis, MO
Active · expires Aug 31, 2026
CLIA Number26D0438696
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJeff Davis
Laboratory Phone(314) 771-2990
Laboratory LocationBeauvais Manor Health Care And Rehabilitation Center, LLC3625 Magnolia Ave, Saint Louis, MO 63110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY MARIE BURCHETT M.P.T.
Physical Therapist
3625 MAGNOLIA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 771-2990
MISS KAITLIN MARIE CHILMAN OTR/L
Occupational Therapist
3625 MAGNOLIA AVE
SAINT LOUIS, MO 63110
St. Louis City (618) 841-7444
MISS JULIA KATHLEEN MYERS LPTA
Physical Therapy Assistant
3625 MAGNOLIA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 771-2990
ASHLEY DOBLER MOTR/L
Occupational Therapist
3625 MAGNOLIA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 771-2990
MRS. PAMELA J LANTER PT, MPT, NCS
Physical Therapist
3625 MAGNOLIA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 771-2990
EMILY LEGAL
Speech-Language Pathologist
3625 MAGNOLIA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 771-2990
BEAUVAIS OPERATOR LLC
Skilled Nursing Facility
3625 MAGNOLIA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 771-2990
LISA ANNE MCCARTHY COTA
Occupational Therapy Assistant
3625 MAGNOLIA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 771-2990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beauvais Manor's NPI number?

The NPI number for Beauvais Manor is 1083857650. It was assigned to this organization in the NPPES registry on April 13, 2009.

Where is Beauvais Manor located?

Beauvais Manor is located at 3625 Magnolia Ave, Saint Louis, MO 63110. The listed phone number is (314) 771-2990.

What is Beauvais Manor's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Beauvais Manor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0438696) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beauvais Manor was last updated on April 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.