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

Grand Manor Nursing & Rehabilitation Center, LLC

Organization Skilled Nursing Facility · NPI 1194765529

Grand Manor Nursing & Rehabilitation Center, LLC is a Skilled Nursing Facility in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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) 531-7140
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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 · Licence 265717 (MO)

Record details

NPI number1194765529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Makhlouf Suissa — Member · (314) 531-2352
NPI enumeratedJune 7, 2006
Last updated in NPPESNovember 27, 2007
Mailing address3645 Cook Ave, Saint Louis, MO 63113-3801

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