Provider Demographics
NPI:1598192452
Name:NAUFEL INC.
Entity Type:Organization
Organization Name:NAUFEL INC.
Other - Org Name:CARRIE ELLIGSON GIETNER HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GHADIR
Authorized Official - Middle Name:
Authorized Official - Last Name:NAUFEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LNHA
Authorized Official - Phone:314-752-0000
Mailing Address - Street 1:5000 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63111-2015
Mailing Address - Country:US
Mailing Address - Phone:314-752-0000
Mailing Address - Fax:314-752-0592
Practice Address - Street 1:5000 S BROADWAY
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63111-2015
Practice Address - Country:US
Practice Address - Phone:314-752-0000
Practice Address - Fax:314-752-0592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO039812314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO106937600Medicaid
MO265668Medicare Oscar/Certification