FOUNTAINBLEAU LODGE
NPI 1831187152
Skilled Nursing Facility in Cape Girardeau, MO

Active since October 11, 2005CLIA 26D0898723 · Waiver
2001 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701(573) 335-1999 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountainbleau Lodge NPPES

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

FOUNTAINBLEAU LODGE (NPI 1831187152) is a healthcare organization registered as a skilled nursing facility in Cape Girardeau, Missouri and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Shafiq M Malik, President, as its authorized official.

NPPES Registry Identity

NPI1831187152
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFOUNTAINBLEAU OF CAPE GIRARDEAU INC.
Location Address2001 N KINGSHIGHWAY STCape Girardeau, MO 63701-2127
Mailing Address2001 N Kingshighway StCape Girardeau, MO 63701-2127 · (573) 335-1999
Organization SubpartNo
Authorized OfficialShafiq M MalikPresident · (573) 335-1999
Enumeration DateOctober 11, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1831187152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 030982
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.
2001 N KINGSHIGHWAY ST, Cape Girardeau, MO 63701

Other Names 1

Doing Business AsFountainbleau Lodge

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 26D0898723

Fountainbleau Lodge · Cape Girardeau, MO
Active · expires Mar 8, 2027
CLIA Number26D0898723
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorShafiq Malik
Laboratory Phone(573) 335-1999
Laboratory LocationFountainbleau Lodge2001 N Kingshighway, Cape Girardeau, MO 63701
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 4

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

Occupational Therapy Assistant
2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
Physical Therapy Assistant
2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
Speech-Language Pathologist
2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
Assisted Living Facility
2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701

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 Fountainbleau Of Cape Girardeau Inc.'s NPI number?

The NPI number for Fountainbleau Of Cape Girardeau Inc. is 1831187152. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is doing business as Fountainbleau Lodge.

Where is Fountainbleau Of Cape Girardeau Inc. located?

Fountainbleau Of Cape Girardeau Inc. is located at 2001 N Kingshighway St, Cape Girardeau, MO 63701. The listed phone number is (573) 335-1999.

What is Fountainbleau Of Cape Girardeau Inc.'s specialty?

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

Does Fountainbleau Of Cape Girardeau Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0898723) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fountainbleau Of Cape Girardeau Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.