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NPI 1992631550

NPI 1992631550 : STEELVILLE HEALTHCARE LLC : STEELVILLE, MO

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General NPI Number Information
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    NPI Number           |    1992631550
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEELVILLE HEALTHCARE LLC 
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Dates
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    Enumeration Date     |    06/22/2026
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    Last Update Date     |    06/22/2026
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Provider Practice Location Address
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    Address Line         |    311 N SPRING ST 
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    City                 |    STEELVILLE
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    State                |    MO
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    Zip                  |    65565-5089
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    Country              |    US
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    Telephone            |    573-260-8850
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    477 N LINDBERGH BLVD STE 310 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63141-7856
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO, MANAGING MEMBER
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    Name                 |     JUDAH  BIENSTOCK 
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    Credential           |    
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    Telephone            |    314-631-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    
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    License Number State |    
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