COUNTRY VILLA WELLNESS & REHABILITATION LLC
NPI 1881552982
Skilled Nursing Facility in Creve Coeur, MO

Active since January 15, 2026CLIA 26D0440685 · Waiver
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141(323) 987-5954 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Country Villa Wellness & Rehabilitation Llc NPPES

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

COUNTRY VILLA WELLNESS & REHABILITATION LLC (NPI 1881552982) is a healthcare organization registered as a skilled nursing facility in Creve Coeur, Missouri and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Garetz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881552982
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRY VILLA WELLNESS & REHABILITATION LLC
Location Address850 COUNTRY MANOR LNCreve Coeur, MO 63141-6651
Mailing Address850 Country Manor LnCreve Coeur, MO 63141-6651
Organization SubpartNo
Authorized OfficialDavid GaretzCfo · (213) 395-1848
Enumeration DateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
NPI 1881552982 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.

850 COUNTRY MANOR LN, Creve Coeur, MO 63141

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 26D0440685

Country Villa Wellness & Rehabilitation · Creve Coeur, MO
Active · expires Aug 31, 2026
CLIA Number26D0440685
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Authur Williams Jr
Laboratory Phone(314) 434-5900
Laboratory LocationCountry Villa Wellness & Rehabilitation850 Country Manor Lane, Creve Coeur, MO 63141
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
850 COUNTRY MANOR LN
CREVE COEUR, MO 63141
Speech-Language Pathologist
850 COUNTRY MANOR LN
CREVE COEUR, MO 63141
Skilled Nursing Facility
850 COUNTRY MANOR LN
CREVE COEUR, MO 63141
Occupational Therapy Assistant
850 COUNTRY MANOR LN
SAINT LOUIS, MO 63141
Nursing Care
850 COUNTRY MANOR LN
CREVE COEUR, MO 63141
Physical Therapist
850 COUNTRY MANOR LN
CREVE COEUR, MO 63141
Occupational Therapy Assistant
850 COUNTRY MANOR LN
CREVE COEUR, MO 63141
Speech-Language Pathologist
850 COUNTRY MANOR LN
CREVE COEUR, MO 63141

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 Country Villa Wellness & Rehabilitation LLC's NPI number?

The NPI number for Country Villa Wellness & Rehabilitation LLC is 1881552982. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is Country Villa Wellness & Rehabilitation LLC located?

Country Villa Wellness & Rehabilitation LLC is located at 850 Country Manor Ln, Creve Coeur, MO 63141. The listed phone number is (323) 987-5954.

What is Country Villa Wellness & Rehabilitation LLC's specialty?

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

Does Country Villa Wellness & Rehabilitation LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0440685) 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 Country Villa Wellness & Rehabilitation LLC was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.