PINE GROVE MANOR LLC
NPI 1548061310
Skilled Nursing Facility in Saint Louis, MO

Active since March 19, 2025
4359 TAFT AVE, SAINT LOUIS, MO 63116(314) 752-2022 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pine Grove Manor Llc NPPES

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

PINE GROVE MANOR LLC (NPI 1548061310), doing business as Pine Grove Manor, is a healthcare organization registered as a skilled nursing facility in Saint Louis, Missouri and active in the NPI registry since March 2025. The organization lists David Garetz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548061310
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePINE GROVE MANOR LLC
Location Address4359 TAFT AVESaint Louis, MO 63116-1533
Mailing Address4359 Taft AveSaint Louis, MO 63116-1533
Organization SubpartNo
Authorized OfficialDavid GaretzCfo · (323) 987-5954
Enumeration DateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
NPI 1548061310 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.

4359 TAFT AVE, Saint Louis, MO 63116

Other Names 1

Doing Business AsPine Grove Manor

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
4359 TAFT AVE
SAINT LOUIS, MO 63116
Speech-Language Pathologist
4359 TAFT AVE
SAINT LOUIS, MO 63116
Skilled Nursing Facility
4359 TAFT AVE
SAINT LOUIS, MO 63116

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 Pine Grove Manor LLC's NPI number?

The NPI number for Pine Grove Manor LLC is 1548061310. It was assigned to this organization in the NPPES registry on March 19, 2025. The provider is doing business as Pine Grove Manor.

Where is Pine Grove Manor LLC located?

Pine Grove Manor LLC is located at 4359 Taft Ave, Saint Louis, MO 63116. The listed phone number is (314) 752-2022.

What is Pine Grove Manor LLC'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 Pine Grove Manor LLC was last updated on March 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.