Mary Ryder Home

LBN: Mary Ryder Home
Mary Ryder Home is an health care organization with primary practice located at 4361 Olive St , Saint Louis MO 63108-2621. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Mary Ryder Home can be contacted via phone (314) 531-2981, or through Osiek, Stefanie via phone (314) 531-2981.

Contact Information

Primary practice address
4361 Olive St Saint Louis MO 63108-2621
Phone: (314) 531-2981
Fax: (314) 531-2990
Website:
Map and Directions
Authorized official contact:
Name: Osiek, Stefanie
Phone: (314) 531-2981

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 032674 Missouri

Profile Details

NPI number 1588871701
LBN Legal business name Mary Ryder Home
DBA Doing business as
Authorized official Osiek, Stefanie
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Jun 4th, 2019 - about 5 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 1588871701 NPPES
Missouri MEDICAID 266740513

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