Pine Grove Manor LLC
Pine Grove Manor LLC is a healthcare organization registered as Skilled Nursing Facility in Saint Louis, MO, holding Type 2 (organization) NPI 1548061310 since 2025. The authorized official on file is David Garetz, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1548061310 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pine Grove Manor LLC |
| Practice address | 4359 TAFT AVE, Saint Louis, MO, 63116 |
| Phone | 3147522022 |
| Enumeration date | 2025-03-19 |
| Last updated in NPPES | 2025-03-19 |
Authorized official
| Name | David Garetz |
|---|---|
| Title | Cfo |
| Phone | 3239875954 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Copy-ready billing details
Provider: Pine Grove Manor LLC NPI: 1548061310 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 4359 TAFT AVE, Saint Louis, MO, 63116
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1922007277 | R. Development, Inc | Organization | Skilled Nursing Facility | Saint Louis, MO |
| 1942450879 | Jpam Management & Consulting Inc | Organization | Skilled Nursing Facility | Saint Louis, MO |
| 1528677887 | Callie Mathis | Individual | Speech-Language Pathologist | Saint Louis, MO |
Verify this record
Cross-check NPI 1548061310 against the authoritative CMS record: view Pine Grove Manor LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Pine Grove Manor LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-19.