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

Grand Manor Health Care Center, LLC

Organization Skilled Nursing Facility · NPI 1215782149

Grand Manor Health Care Center, LLC is a Skilled Nursing Facility in Saint Louis, Missouri. Registered with an NPI since 2024.

In the registry since
2024
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

3645 Cook Ave
Saint Louis, MO 63113-3801
Phone: (314) 531-2352
Fax: (314) 531-2352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1215782149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Destefane — President · (314) 543-3816
Other names Grand Manor Health Care Center
NPI enumeratedApril 23, 2024
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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