Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creve Coeur Manor Health Care Center LLC

Organization Skilled Nursing Facility · NPI 1578419156

Creve Coeur Manor Health Care Center LLC is a Skilled Nursing Facility in Saint Louis, Missouri. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1127 Timber Run Dr
Saint Louis, MO 63146-4482
Phone: (314) 434-8361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1578419156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Destefane — President · (314) 543-3805
NPI enumeratedMarch 6, 2026
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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