Healthcare Provider Details

I. General information

NPI: 1912932534
Provider Name (Legal Business Name): NHC HEALTHCARE-ST. CHARLES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 SUGAR MAPLE LN
SAINT CHARLES MO
63303-5740
US

IV. Provider business mailing address

35 SUGAR MAPLE LN
SAINT CHARLES MO
63303-5740
US

V. Phone/Fax

Practice location:
  • Phone: 636-946-8887
  • Fax:
Mailing address:
  • Phone: 636-946-8887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number032228
License Number StateMO

VIII. Authorized Official

Name: MEL RECTOR
Title or Position: MANAGER
Credential:
Phone: 636-946-3677