MEDICARE: FUTURE FOCUS OF U-CITY 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	314000000X	Skilled Nursing Facility	037745	MO

General Provider Information

NPI Number	:	1679803787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTURE FOCUS OF U-CITY LLC

Provider Business Mailing Address
First Line	:	3904 S OLD HIGHWAY 94
Second Line	:	SUITE 400
City	:	SAINT PETERS
State	:	MO
Zip	:	63304-2850
Country	:	US
Telephone Number	:	314-259-1044
Fax Number	:	314-259-1405

Provider Business Practice Location Address
First Line	:	894 LELAND AVENUE
Second Line	:
City	:	UNIVERSITY CITY
State	:	MO
Zip	:	63130-3239
Country	:	US
Telephone Number	:	314-726-4767
Fax Number	:	314-726-1308

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MRS. KATHLEEN E BEAMER
Credential	:
Telephone Number	:	314-259-1044

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	02/03/2014

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