OrganizationActive
Grand Manor Nursing & Rehabilitation Center, L.L.C.
NPI 1194765529 · Skilled Nursing Facility · Saint Louis, MO
Provider details
- NPI number
- 1194765529
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Makhlouf Suissa, Member(314) 531-2352
- License
- 265717 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3645 Cook Ave
Saint Louis, MO 63113-3801
Phone: (314) 531-2352
Fax: (314) 531-7140
Street-level locationGet directions
Mailing address
3645 Cook Ave
Saint Louis, MO 63113-3801
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2007-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.