Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareKJD INCORPORATED
Assisted Living Facility
Saint Louis, Missouri
Provider NPI: 1568466076
Organization Information:Organization Name: KJD INCORPORATED
Practice Location:
5500 S BROADWAY SAINT LOUIS, MO 63111 US
Tel: 314-353-5900 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5500 S BROADWAY SAINT LOUIS, MO 63111 US
Tel: 314-353-5900 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MO | 031300 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MO | 031299 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 179678 | MO | 01 |
| 107837106 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin