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

Frederick Street Manor LLC

Organization Assisted Living Facility · NPI 1518535285

Frederick Street Manor LLC is an Assisted Living Facility in Cape Girardeau, Missouri. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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

429 N Frederick St
Cape Girardeau, MO 63701-4834
Phone: (573) 334-0916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X
Assisted Living Facility Taxonomy 310400000X

Record details

NPI number1518535285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Wood — Owner · (573) 576-3029
Other names Frederick Street Manor
NPI enumeratedJune 17, 2021
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021
Mailing addressPo Box 1570, Cape Girardeau, MO 63702-1570

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