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Organization Active NPI

McKnight Place Extended Care LLC

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1003933607
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
033219 Issued in MO
Legal business name
MCKNIGHT PLACE EXTENDED CARE LLC
Practice address
2 McKnight PL
Saint Louis, MO 63124-1900
Phone
(314) 993-2221
Fax
(314) 372-2300
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Ms. Glenda Knittel, LNHA
Title
Administrator
Phone
(314) 993-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 033219 MO Primary

Addresses

Primary practice location

2 McKnight PL
Saint Louis, MO 63124-1900

Mailing address

2 McKnight PL
Saint Louis, MO 63124-1900
Phone (314) 993-2221

Other identifiers 3

IdentifierTypeStateIssuer
033219OtherMOSNF LICENSE NO.
107809204OtherMOPROVIDER NUMBER
18914AOtherMOFACILITY NUMBER

Other names 1

  • McKnight Place Extended Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131114000843 MO Part A Provider - Skilled Nursing Facility 8628204906 Practice locations: Saint Louis, MO

Skilled nursing facility certification: CCN 265849

Legal name
MCKNIGHT PLACE EXTENDED CARE LLC
Doing business as
MCKNIGHT PLACE EXTENDED CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jun 16, 2014
Last certification
Apr 9, 2025
Beds
70
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Feb 7, 1995 in MO
Enrollment address
2 McKnight PL
Saint Louis, MO 63124-1900
Nursing home name
MCKNIGHT PLACE EXTENDED CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
McKnight Place Extended CareCCN 265849
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Jun 16, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7056.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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
M P Extended Care Inc Organization, Saint Louis, MO Corporation 5% Or Greater Direct Ownership Interest Jul 24, 1998 20%
Operational/Managerial Control Feb 7, 1995 100%
Robert Leonard Individual 5% Or Greater Direct Ownership Interest Feb 7, 1995 15%
Glenda M Knittel Individual W-2 Managing EmployeeAdministrator of McKnight Place Nov 18, 2013 100%
Operational/Managerial ControlAdministrator of McKnight Place Apr 9, 2012 100%
David Smith Individual 5% Or Greater Direct Ownership Interest Feb 7, 1995 5%
Charles J Deutsch Individual 5% Or Greater Direct Ownership Interest Feb 7, 1995 60%
5% Or Greater Indirect Ownership Interest Jul 24, 1998 20%
W-2 Managing EmployeeMember, Receives From M P Extend Feb 7, 1995 100%
Operational/Managerial ControlMember Feb 7, 1995 100%

Practitioners & affiliated clinicians

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1003933607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MCKNIGHT PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241900",
            "telephone_number": "314-993-2221",
            "fax_number": "314-372-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MCKNIGHT PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241900",
            "telephone_number": "314-993-2221",
            "fax_number": "314-372-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKNIGHT PLACE EXTENDED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "KNITTEL",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-993-2221",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "033219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNF LICENSE NO.",
            "identifier": "033219",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "107809204",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NUMBER",
            "identifier": "18914A",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKnight Place Extended Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.