Grand Manor Health Care Center, L.L.C.
NPI 1215782149 · Skilled Nursing Facility · Saint Louis, MO
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Manor Health Care Center, L.L.C. is a Skilled Nursing Facility organization in Saint Louis, MO (NPI 1215782149).
Provider details
- NPI number
- 1215782149
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Destefane, President(314) 543-3816
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Grand Manor Health Care Center
Registry dates
- Enumerated
- 2024-04-23
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Frequently asked questions
- What is Grand Manor Health Care Center, L.L.C.'s NPI number?
- Grand Manor Health Care Center, L.L.C.'s National Provider Identifier (NPI) is 1215782149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Manor Health Care Center, L.L.C.?
- Grand Manor Health Care Center, L.L.C. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Grand Manor Health Care Center, L.L.C. located?
- Grand Manor Health Care Center, L.L.C.'s practice location on file with NPPES is 3645 Cook Ave, Saint Louis, MO 63113-3801.
- What is Grand Manor Health Care Center, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Grand Manor Health Care Center, L.L.C. is (314) 531-2352.
- Does Grand Manor Health Care Center, L.L.C. accept Medicare?
- Grand Manor Health Care Center, L.L.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Manor Health Care Center, L.L.C.?
- The authorized official listed on Grand Manor Health Care Center, L.L.C.'s NPPES record is Richard Destefane, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Manor Health Care Center, L.L.C.'s NPI active?
- Yes — Grand Manor Health Care Center, L.L.C.'s NPI (1215782149) is active in the NPPES registry as of the last update on 2026-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.