Organization · Type 2 NPI

Diversicare of Chateau LLC

Nursing Facility/Intermediate Care Facility · St. Joseph, MO

NPI number 1588079271 Active

Practice location

811 N 9th St
St. Joseph, MO 64501-1651

Fax (816) 233-5211

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	042612 (MO)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

4 other providers at this address

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NPI record

NPI: 1588079271
Entity type: Organization (Type 2)
Issued: Jun 22, 2014
Last updated: Nov 7, 2022
Status: Active
Subpart: Yes of Diversicare Healthcare Services LLC

Other names

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St. Joseph Chateau · doing business as
St. Joseph Chateau · doing business as

Authorized official

Matthew J Weishaar
CFO and Secretary
(615) 771-7575

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1588079271

Diversicare of Chateau LLC's National Provider Identifier is 1588079271, issued on Jun 22, 2014. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in St. Joseph, MO. The record was last updated on Nov 7, 2022.