PINE GROVE MANOR LLC
NPI 1548061310
Skilled Nursing Facility in Saint Louis, MO
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 holds a CLIA Waiver certificate valid through September 28, 2028 and lists David Garetz, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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 26D0438910
Pine Grove Manor · Saint Louis, MOOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Does Pine Grove Manor LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0438910) is associated with this NPI, valid through September 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pine Grove Manor LLC accept?
Health plans from Oscar Insurance Company list Pine Grove Manor LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.