Parkside Meadows Inc.

LBN: Parkside Meadows Inc.
Parkside Meadows Inc. is an health care organization with primary practice located at 2150 W Randolph St , Saint Charles MO 63301-0844. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Parkside Meadows Inc. can be contacted via phone (636) 946-4966, or through Cearnal, Ray via phone (636) 946-4966.

Contact Information

Primary practice address
2150 W Randolph St Saint Charles MO 63301-0844
Fax: (636) 946-0214
Website:
Authorized official contact:
Name: Cearnal, Ray

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031754 Missouri

Profile Details

NPI number 1770579500
LBN Legal business name Parkside Meadows Inc.
DBA Doing business as
Authorized official Cearnal, Ray
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 21st, 2011 - about 13 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 1770579500 NPPES
Missouri MEDICAID 101492908

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