NPIMap

Organization Active NPI

Eldercare of Mid-Missouri Xiii Inc.

Doing business as StoneBridge Hermann

  • Skilled Nursing Facility
  • Hermann, MO
National Provider Identifier
1013305127
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELDERCARE OF MID-MISSOURI XIII INC.
Doing business as
StoneBridge Hermann
Practice address
1800 Wein St
Hermann, MO 65041-1601
Phone
(636) 477-3280
Fax
(636) 477-3241
NPI assigned
Dec 26, 2014
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Deanna Bokel
Title
Owner
Phone
(636) 477-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1800 Wein St
Hermann, MO 65041-1601

Mailing address

2500 S Old Highway 94
Suite 104
Saint Charles, MO 63303-5616
Phone (636) 477-3280

Other names 1

  • StoneBridge Hermann Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150313002100 MO Part A Provider - Skilled Nursing Facility 3678899457 Practice locations: Hermann, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013305127. Details of each certification follow.

Skilled nursing facility certification: CCN 265651

Legal name
ELDERCARE OF MID-MISSOURI XIII INC.
Doing business as
STONEBRIDGE HERMANN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 10, 1996
Last certification
Sep 19, 2024
Beds
118
Ownership / control type
Corporation
Multi-facility organization
STONEBRIDGE
Most recent change of ownership
Feb 1, 2015
Organization structure
CorporationProprietary
Incorporated
Dec 8, 2014 in MO
Enrollment address
1800 Wein St
Hermann, MO 65041-1601
Nursing home name
STONEBRIDGE HERMANN
Affiliated entity
STONEBRIDGE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stonebridge HermannCCN 265651 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 10, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11861.8 residents per day on average
Chain
Stonebridge Senior Living12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Beth Miller Individual Corporate OfficerSecretary Jan 17, 2023
Eric Doerhoff Individual Operational/Managerial ControlVP of Operations-Chain Home Offi Nov 1, 2021 50%
Adp of the SNF Nov 1, 2021
Michael T Rothermich Individual Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
Eldercare Management Services Inc Organization, Saint Charles, MO Corporation, Management services company, Chain home office Operational/Managerial Control Feb 1, 2015
Adp of the SNF Apr 22, 2025
Jeanne Thayer Individual Operational/Managerial Control Nov 11, 2021
Adp of the SNF Nov 11, 2021
Lierman Family Co Xiii, LLC Organization, Saint Charles, MO LLC Adp of the SNF Feb 1, 2015
Lisa Clevenger Individual Operational/Managerial Control May 15, 2024
Adp of the SNF May 15, 2024
Theresa Willimann Individual Operational/Managerial Control Mar 24, 2020
Adp of the SNF Mar 24, 2020
Wipfli LLP Organization, Clayton, MO Adp of the SNF Jan 1, 2025
Bridge Rehabilitation Inc Organization, Saint Charles, MO Corporation, Medical provider/supplier Operational/Managerial Control Feb 1, 2024
Adp of the SNF Apr 22, 2025
Mark W Lierman Individual 5% Or Greater Direct Ownership InterestPresident Nov 1, 2021 100%
Corporate OfficerPresident Nov 1, 2021 100%
Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
First Mid Bank & Trust Organization, O'Fallon, MO Financial institution Operational/Managerial Control Jul 1, 2022
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 25, 2016
Steven Ciegel Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022

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 11

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, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1013305127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S OLD HIGHWAY 94",
            "address_2": "SUITE 104",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035616",
            "telephone_number": "636-477-3280",
            "fax_number": "636-477-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WEIN ST",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650411601",
            "telephone_number": "636-477-3280",
            "fax_number": "636-477-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF MID-MISSOURI XIII INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "BOKEL",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-477-3280"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge Hermann",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermann, MO

Sources for this page

Verify at the official NPI Registry.