Ballwin Ridge Health & Rehabilitation

LBN: Ballwin Health Care Llc
Ballwin Ridge Health & Rehabilitation is an health care organization with primary practice located at 1441 Charic Dr , Ballwin MO 63021-2001. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ballwin Health Care Llc can be contacted via phone (636) 394-2522, or through Mcgavock, Kam via phone (410) 773-1000.

Contact Information

Primary practice address
1441 Charic Dr Ballwin MO 63021-2001
Phone: (636) 394-2522
Fax: (636) 527-2218
Website:
Map and Directions
Authorized official contact:
Name: Mcgavock, Kam
Phone: (410) 773-1000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1376978627
LBN Legal business name Ballwin Health Care Llc
DBA Doing business as Ballwin Ridge Health & Rehabilitation
Authorized official Mcgavock, Kam
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2013
Last updated May 16th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376978627 NPPES
Missouri MEDICAID 103733606

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