Organization Active NPI

Silverstone SNF LLC

  • Skilled Nursing Facility
  • Rolla, MO
National Provider Identifier
1003224825
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SILVERSTONE SNF LLC
Practice address
2735 Eagleson Dr
Rolla, MO 65401-8384
Phone
(573) 426-6200
Fax
(573) 426-6050
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Greg Spence
Title
Member
Phone
(636) 349-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2735 Eagleson Dr
Rolla, MO 65401-8384

Mailing address

2735 Eagleson Dr.
Rolla, MO 65401-8384
Phone (573) 426-6200

Other identifiers 1

IdentifierTypeStateIssuer
100021124MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140923001372 MO Part A Provider - Skilled Nursing Facility 6709005804 Practice locations: Rolla, MO

Skilled nursing facility certification: CCN 265851

Legal name
SILVERSTONE SNF LLC
Doing business as
SILVERSTONE PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 25, 2015
Last certification
May 16, 2024
Beds
110
Ownership / control type
Limited Liability Corporation
Multi-facility organization
RILEY SPENCE MANAGEMENT COMPANY, LLC
Organization structure
LLCProprietary
Enrollment address
2735 Silverstone Dr
Rolla, MO 65401-8838
Nursing home name
SILVERSTONE PLACE
Affiliated entity
RILEY SPENCE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Silverstone PlaceCCN 265851
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 25, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11086.2 residents per day on average
Chain
Riley Spence Senior Living5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2091989Silverstone SNF LLC2735 Silverstone Dr, Rolla, MO 65401Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Locations

2735 Silverstone Dr
Rolla, MO 65401
Phone (573) 426-6200

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charles J Riley Individual 5% Or Greater Direct Ownership InterestMember Jan 14, 2011 37.5%
Adp of the SNF Jan 8, 2025
Direct Ownership Interest Jan 14, 2011 37.5%
Charity Gott Individual W-2 Managing EmployeeAd; Jul 5, 2023
Adp of the SNF Jan 8, 2025
Riley Spence Management Company, LLC Organization, Fenton, MO LLC Operational/Managerial Control Dec 18, 2024
Adp of the SNF Jan 8, 2025
Bohdan a Lebedowicz Individual Contracted Managing EmployeeMD; Jan 1, 2016
Adp of the SNF Jan 8, 2025
Gregory S Spence Individual 5% Or Greater Direct Ownership InterestMember Jan 14, 2011 62.5%
Adp of the SNF Jan 8, 2025
Direct Ownership Interest Jan 14, 2011 62.5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1003224825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 EAGLESON DR.",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654018384",
            "telephone_number": "573-426-6200",
            "fax_number": "573-426-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 EAGLESON DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654018384",
            "telephone_number": "573-426-6200",
            "fax_number": "573-426-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERSTONE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "636-349-2311"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100021124",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.