GREEN PARK NURSING HOME
NPI 1386621613
Skilled Nursing Facility in Saint Louis, MO

NPI Status: Active since December 28, 2005

Contact Information

9350 GREEN PARK RD
SAINT LOUIS, MO
ZIP 63123
Phone: (314) 845-0900
Fax: (314) 845-0901

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 26D0952543
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 07-27-2025

About GREEN PARK NURSING HOME

This page provides the complete NPI Profile along with additional information for Green Park Nursing Home, a provider established in Saint Louis, Missouri operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1386621613 assigned on December 2005. The practitioner's primary taxonomy code is 314000000X with license number 031930 (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Miss Donna Marie Harp Lnha (Administrator)

NPI
1386621613
Provider Name
GREEN PARK NURSING HOME
Entity Type
Organization
Location Address
9350 GREEN PARK RD SAINT LOUIS, MO 63123
Location Phone
(314) 845-0900
Location Fax
(314) 845-0901
Mailing Address
9350 GREEN PARK RD SAINT LOUIS, MO 63123
Mailing Phone
(314) 845-0900
Mailing Fax
(314) 845-0901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
031930
License State
MO
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS DONNA MARIE HARP LNHA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(314) 845-0900

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0952543
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
July 28, 2023
Certificate Expiration Date
July 27, 2025
Laboratory Director
KEOOY FAULSTICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Green Park Nursing Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GREEN PARK NURSING HOME

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386621613
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166122262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 2 + 2 + 2 + 6 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1386621613 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194859249 VICTORIA LYNN VARGO M.S.,CCC-SLP
Individual
Speech-Language Pathologist9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1427172188MR. DAVID J BYRNE PTA
Individual
Physical Therapy Assistant9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1497870661 TAMARA MARIE WORS COTA
Individual
Occupational Therapy Assistant9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1962527820 JUDY CATHERINE SCHACHNER PTA
Individual
Physical Therapy Assistant9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1588789176 JO ANN MARIE LOWES COTA
Individual
Occupational Therapy Assistant9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1013032473MRS. BRENDA GEORGE I
Individual
Physical Therapist9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1982729315 DEBORAN RAUSCH LPTA
Individual
Physical Therapy Assistant9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1659496016MRS. ANGELA IRENE DONJON OTR
Individual
Occupational Therapist9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1689898587MS. ANGELA LOUISE DEUTSCH COTA
Individual
Occupational Therapy Assistant9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1588984207MS. SARA ANN MOSHER
Individual
Occupational Therapist9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1841507035 THERESA M ESKER PTA
Individual
Physical Therapy Assistant9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(618) 977-6704
1720350721 ALEXANDRA C ROTH PT
Individual
Physical Therapist9350 GREEN PARK RD REHAB DEPT
SAINT LOUIS, MO 63123
(314) 845-0900
1982334173 AMANDA RAE RUSSELL
Individual
Occupational Therapy Assistant9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(413) 845-0900
1326116492GREEN PARK LEASING CO., LLC
Organization
Skilled Nursing Facility9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1922371475 KATE EDWARDS SLP
Individual
Speech-Language Pathologist9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900
1699528422BLOOMING OAKS WELLNESS & REHABILITATION LLC
Organization
Skilled Nursing Facility9350 GREEN PARK RD
SAINT LOUIS, MO 63123
(314) 845-0900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386621613, enumerated in the NPI registry as an "organization" on December 28, 2005

The provider is located at 9350 Green Park Rd Saint Louis, Mo 63123 and the phone number is (314) 845-0900

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider's CLIA number is 26D0952543 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.