WOODLAND MANOR NURSING HOME
NPI 1679654420
Skilled Nursing Facility in Fenton, MO

Active since October 18, 2006CLIA 26D0436799 · Waiver
1749 GILSINN LN, FENTON, MO 63026(636) 349-2311 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Woodland Manor Nursing Home NPPES

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

WOODLAND MANOR NURSING HOME (NPI 1679654420) is a healthcare organization registered as a skilled nursing facility in Fenton, Missouri and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Greg Spence, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1679654420
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMID AMERIACA HEALTH CARE
Location Address1749 GILSINN LNFenton, MO 63026-2003
Mailing Address100 Woodland MnrArnold, MO 63010-2030 · (636) 296-1400
Organization SubpartNo
Authorized OfficialGreg SpenceChief Financial Officer · (636) 349-2311
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1679654420 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.

1749 GILSINN LN, Fenton, MO 63026

Other Names 1

Doing Business AsWoodland Manor Nursing Home

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 26D0436799

Woodland Manor Of Arnold LLC · Arnold, MO
Active · expires Aug 31, 2026
CLIA Number26D0436799
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSonjay Patwardhan
Laboratory Phone(636) 296-1400
Laboratory LocationWoodland Manor Of Arnold LLC100 Woodland Court, Arnold, MO 63010
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Psychiatry & Neurology (Hospice and Palliative Medicine)
1749 GILSINN LN
FENTON, MO 63026
Hospice Care, Community Based
1749 GILSINN LN
FENTON, MO 63026
Hospice Care, Community Based
1749 GILSINN LN
FENTON, MO 63026

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 Mid Ameriaca Health Care's NPI number?

The NPI number for Mid Ameriaca Health Care is 1679654420. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Woodland Manor Nursing Home.

Where is Mid Ameriaca Health Care located?

Mid Ameriaca Health Care is located at 1749 Gilsinn Ln, Fenton, MO 63026. The listed phone number is (636) 349-2311.

What is Mid Ameriaca Health Care's specialty?

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

Does Mid Ameriaca Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0436799) 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 Mid Ameriaca Health Care was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.