CHARLESTON MANOR NURSING, LLC – NPI #1477550259
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CHARLESTON MANOR NURSING, LLC is a skilled nursing facility (SNF) located in CHARLESTON, MO. NPPES has assigned the NPI number 1477550259 to CHARLESTON MANOR NURSING, LLC on July 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CHARLESTON MANOR NURSING, LLC is also known by the name CHARLESTON MANOR. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLESTON MANOR NURSING, LLC below.

NPI Profile for
CHARLESTON MANOR NURSING, LLC

NPI Number
1477550259
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLESTON MANOR NURSING, LLC
Other Name: CHARLESTON MANOR
Primary location
1220 E MARSHALL ST
CHARLESTON, MO 63834-1349
Phone: (573) 683-3721 Fax: (573) 683-3029
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES REIKER
TREASURER
Phone: (573) 471-1113
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
MO 030652

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.