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Grand Manor Health Care Center, L.L.C.

Skilled Nursing Facility in Saint Louis, MO · enumerated 2024 · authorized official Richard Destefane, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215782149

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Manor Health Care Center, L.L.C.
Practice address 3645 Cook Ave, Saint Louis, MO, 63113
Phone (314) 531-2352
Fax (314) 531-2352
Enumeration date Apr 23, 2024
Last updated in NPPES Feb 20, 2026

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Richard Destefane
Title President
Phone (314) 543-3816

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-02-20. Verify at npiregistry.cms.hhs.gov.
Where is Grand Manor Health Care Center, L.L.C. located?
The practice location on file with NPPES is in Saint Louis, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-20.