MEDICARE: SPRING MANOR LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3104A0625X	Assisted Living Facility (Mental Illness)	041208	MO

General Provider Information

NPI Number	:	1225464001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING MANOR LLC

Provider Business Mailing Address
First Line	:	2931 N SPRING AVE
Second Line	:	APT/SUITE
City	:	SAINT LOUIS
State	:	MO
Zip	:	63107-2306
Country	:	US
Telephone Number	:	314-533-3111
Fax Number	:	314-533-3120

Provider Business Practice Location Address
First Line	:	3610 PALM ST.
Second Line	:	APT/SUITE
City	:	SAINT LOUIS
State	:	MO
Zip	:	63107
Country	:	US
Telephone Number	:	314-533-3111
Fax Number	:	314-533-3120

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SALEH MALIK
Credential	:
Telephone Number	:	314-265-6634

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	09/24/2013

Similar Medicare Providers

1295503159 — TIFFANY LORIECE BROWN
Practice Location Address:

1440 E PRAIRIE AVE
SAINT LOUIS, MO
63107-1229

Practice Phone: 314-226-0420
Practice Fax:

1093723959 — AFFINIA HEALTHCARE
Practice Location Address:

4414 N FLORISSANT AVE
SAINT LOUIS, MO
63107-1812

Practice Phone: 314-898-1700
Practice Fax: 314-898-1688

1790873743 — VALERIE HIGGINBOTHAM WHNP-BC
Practice Location Address:

4414 N FLORISSANT AVE
SAINT LOUIS, MO
63107-1812

Practice Phone: 314-814-8515
Practice Fax: 314-814-8542

1255477451 — MS. CARNETTA JOANN THOMPSON M.A.,CCC SLP
Practice Location Address:

4238 DE SOTO AVE
SAINT LOUIS, MO
63107-1605

Practice Phone: 314-534-0144
Practice Fax:

1699819235 — KATHLEEN N. GUERREIN NP
Practice Location Address:

4414 N FLORISSANT AVE
SAINT LOUIS, MO
63107-1812

Practice Phone: 314-898-1700
Practice Fax: 314-814-8542

1679606404 — MRS. REBECCA ANN PINNELL MS, CCC-SLP
Practice Location Address:

3820 N 14TH ST
SAINT LOUIS, MO
63107-2928

Practice Phone: 314-231-9608
Practice Fax:

1083747554 — CLEVELAND EUGENE RAYFORD M.D.
Practice Location Address:

4414 N FLORISSANT AVE
SAINT LOUIS, MO
63107-1812

Practice Phone: 314-898-1720
Practice Fax: 314-898-1688

Directions to “SPRING MANOR LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.