RANCHO MANOR HEALTHCARE AND REHAB CENTER LLC
NPI 1336221456
Skilled Nursing Facility in Florissant, MO

Q: What is Rancho Manor Healthcare And Rehab Center LLC's specialty?

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

Active since October 19, 2006CLIA 26D0673544 · Waiver

615 RANCHO LN, FLORISSANT, MO 63031(314) 839-2150(314) 839-8736 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Rancho Manor Healthcare And Rehab Center Llc NPPES

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

RANCHO MANOR HEALTHCARE AND REHAB CENTER LLC (NPI 1336221456) is a healthcare organization registered as a skilled nursing facility in Florissant, Missouri and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists David Zuckerman, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1336221456

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameRANCHO MANOR HEALTHCARE AND REHAB CENTER LLC

Location Address615 RANCHO LNFlorissant, MO 63031-1717

Mailing Address7434 Skokie BlvdSkokie, IL 60077-3341 · (847) 982-2300 · Fax (847) 982-2304

Phone(314) 839-2150

Fax(314) 839-8736

Organization SubpartNo

Authorized OfficialDavid ZuckermanComptroller · (847) 982-2300

Enumeration DateOctober 19, 2006

Last NPPES UpdateMarch 30, 2015

✔ NPI 1336221456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

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.

615 RANCHO LN, Florissant, MO 63031

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Other Identifiers 1

Medicare OSCAR/certification265402MO

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 26D0673544

Rancho Manor Healthcare And Rehab Center · Florissant, MO

Active · expires Aug 31, 2028

CLIA Number26D0673544

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2026

Certificate Expiration DateAugust 31, 2028

Laboratory DirectorDanielle Young

Laboratory Phone(314) 839-2150

Laboratory LocationRancho Manor Healthcare And Rehab Center615 Rancho Lane, Florissant, MO 63031

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 7

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

MRS. ELLEN MARIE KEY M.S. CCC-SLP

Speech-Language Pathologist