Friendship Village Of South County
LBN: Friendship Village Of South County
Friendship Village Of South County is an health care organization with primary practice located at 12651 Village Circle Dr , Saint Louis MO 63127-1778. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Friendship Village Of South County can be contacted via phone (314) 842-6840, or through Champion, Sue via phone (314) 842-6840.
Contact Information
Primary practice address
12651 Village Circle Dr
Saint Louis MO 63127-1778
Phone: (314) 842-6840
Fax: (314) 525-7500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 030527 | Missouri |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 030733 | Missouri |
Profile Details
| NPI number | 1477544104 |
|---|---|
| LBN Legal business name | Friendship Village Of South County |
| DBA Doing business as | |
| Authorized official | Champion, Sue |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Sep 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477544104 | NPPES |
| Missouri | MEDICAID | 101486504 |
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