GRAND MANOR NURSING & REHABILITATION CENTER, L.L.C.
NPI 1194765529
Skilled Nursing Facility in Saint Louis, MO

Active since June 07, 2006
3645 COOK AVE, SAINT LOUIS, MO 63113(314) 531-2352(314) 531-7140 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Manor Nursing & Rehabilitation Center, L.l.c. NPPES

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

GRAND MANOR NURSING & REHABILITATION CENTER, L.L.C. (NPI 1194765529) is a healthcare organization registered as a skilled nursing facility in Saint Louis, Missouri and active in the NPI registry since June 2006. The organization lists Makhlouf Suissa, Member, as its authorized official.

NPPES Registry Identity

NPI1194765529
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRAND MANOR NURSING & REHABILITATION CENTER, L.L.C.
Location Address3645 COOK AVESaint Louis, MO 63113-3801
Mailing Address3645 Cook AveSaint Louis, MO 63113-3801 · (314) 531-2352 · Fax (314) 531-7140
Fax(314) 531-7140
Organization SubpartNo
Authorized OfficialMakhlouf SuissaMember · (314) 531-2352
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 27, 2007
NPI 1194765529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 265717
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3645 COOK AVE, Saint Louis, MO 63113

Other Identifiers 1

Medicare ID-Type Unspecified265717MO

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
3645 COOK AVE
SAINT LOUIS, MO 63113
Skilled Nursing Facility
3645 COOK AVE
SAINT LOUIS, MO 63113
Occupational Therapist
3645 COOK AVE
SAINT LOUIS, MO 63113
Physical Therapy Assistant
3645 COOK AVE
SAINT LOUIS, MO 63113

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 Grand Manor Nursing & Rehabilitation Center, L.L.C.'s NPI number?

The NPI number for Grand Manor Nursing & Rehabilitation Center, L.L.C. is 1194765529. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Grand Manor Nursing & Rehabilitation Center, L.L.C. located?

Grand Manor Nursing & Rehabilitation Center, L.L.C. is located at 3645 Cook Ave, Saint Louis, MO 63113. The listed phone number is (314) 531-2352.

What is Grand Manor Nursing & Rehabilitation Center, L.L.C.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Grand Manor Nursing & Rehabilitation Center, L.L.C. was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.