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

Grand Manor SNF Opco LLC

Organization Skilled Nursing Facility · NPI 1194651687

Grand Manor SNF Opco LLC is a Skilled Nursing Facility in Saint Louis, Missouri. Medicare rates this nursing home 1 out of 5. Registered with an NPI since 2026.

CMS rating
1 of 5
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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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 265717)
Health inspection2.0 / 5
Staffing1.0 / 5
Quality measures2.0 / 5
OwnershipFor profit - Limited Liability company

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

Record details

NPI number1194651687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Destefane — President · (314) 543-3800
Other names Grand Manor Health Care Center
NPI enumeratedJune 22, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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