Pine Grove Manor LLC
NPI 1548061310 · 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)
Pine Grove Manor LLC is a Skilled Nursing Facility organization in Saint Louis, MO (NPI 1548061310).
Provider details
- NPI number
- 1548061310
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Garetz, Cfo(323) 987-5954
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
1 yr 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
- Pine Grove Manor
Registry dates
- Enumerated
- 2025-03-19
- Last updated
- 2025-03-19
- Certified
- 2025-03-19
Frequently asked questions
- What is Pine Grove Manor LLC's NPI number?
- Pine Grove Manor LLC's National Provider Identifier (NPI) is 1548061310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Grove Manor LLC?
- Pine Grove Manor LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Pine Grove Manor LLC located?
- Pine Grove Manor LLC's practice location on file with NPPES is 4359 Taft Ave, Saint Louis, MO 63116-1533.
- What is Pine Grove Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Grove Manor LLC is (314) 752-2022.
- Does Pine Grove Manor LLC accept Medicare?
- Pine Grove Manor LLC 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 Pine Grove Manor LLC?
- The authorized official listed on Pine Grove Manor LLC's NPPES record is David Garetz, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Grove Manor LLC's NPI active?
- Yes — Pine Grove Manor LLC's NPI (1548061310) is active in the NPPES registry as of the last update on 2025-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.