GRAND MANOR HEALTH CARE CENTER, L.L.C.
NPI 1215782149
Skilled Nursing Facility in Saint Louis, MO
About Grand Manor Health Care Center, L.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND MANOR HEALTH CARE CENTER, L.L.C. (NPI 1215782149), doing business as Grand Manor Health Care Center, is a healthcare organization registered as a skilled nursing facility in Saint Louis, Missouri and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard J. Destefane, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 26D0438791
Grand Manor Health Care Center, LLC · Saint Louis, MOOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Health Care Center, L.L.C.'s NPI number?
The NPI number for Grand Manor Health Care Center, L.L.C. is 1215782149. It was assigned to this organization in the NPPES registry on April 23, 2024. The provider is doing business as Grand Manor Health Care Center.
Where is Grand Manor Health Care Center, L.L.C. located?
Grand Manor Health Care 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 Health Care Center, L.L.C.'s specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Grand Manor Health Care Center, L.L.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0438791) 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 Grand Manor Health Care Center, L.L.C. was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.