CC
CREVE COEUR MANOR LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
SAINT LOUIS, MO
Licensed since
2006
Rate
—
Federal compliance record
Total fines$9,440
Payment denials / penalties1
Abuse flagNone on record
Federal identifiers
NPI registry number1194806109
CMS Certification Number (CCN)265720
Agency details
Avg residents / day70.3
OwnershipFor profit - Limited Liability company
Chain affiliationPALLADIAN HEALTHCARE
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameSHARO SHIRSHEKAN
TitleMANAGING MEMBER
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