OrganizationActive
Bethesda Long Term Care, Inc.
NPI 1922074111 · Skilled Nursing Facility · Ellisville, MO
Provider details
- NPI number
- 1922074111
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Brinker, Executive Vice President(314) 800-1988
- License
- 032050 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
322 Old State Rd
Ellisville, MO 63021-5917
Phone: (636) 227-3431
Fax: (636) 394-5037
Approximate (ZIP-level) locationGet directions
Mailing address
1630 Des Peres Rd
Saint Louis, MO 63131-1800
Other names (DBA / former)
- Doing business as
- Bethesda Meadow
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2012-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.