Stonebridge De Soto

LBN: Eldercare Of Mid-Missouri Iv, Inc.
Stonebridge De Soto is an health care organization with primary practice located at 1550 Villa Dr , De Soto MO 63020-2586. The organization recently has 2 registered licenses in different health care specialties including Agencies / Nursing Care, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Eldercare Of Mid-Missouri Iv, Inc. can be contacted via phone (636) 586-6559, or through Lierman, Mark via phone (636) 477-3280.

Contact Information

Primary practice address
1550 Villa Dr De Soto MO 63020-2586
Phone: (636) 586-6559
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lierman, Mark
Phone: (636) 477-3280

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X 035678 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1487811436
LBN Legal business name Eldercare Of Mid-Missouri Iv, Inc.
DBA Doing business as Stonebridge De Soto
Authorized official Lierman, Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2008
Last updated Dec 1st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487811436 NPPES
Missouri MEDICAID 107812307

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