Elm Investment Group LLC
Organization Active NPI Skilled Nursing Facility · Salem, MO
NPI 1043923329 · NPPES record last updated Jan 2, 2023
Key facts
- NPI
- 1043923329
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ELM INVESTMENT GROUP LLC
- Practice address
- 1203 N Jackson St
Salem, MO 65560-1076 - Phone
- (417) 425-3062
- NPI assigned
- Jan 2, 2023
- Organization subpart
- No
Authorized official
- Name
- Brooke M Bigham
- Title
- Manager
- Phone
- (417) 425-3062
Facilities with the same owner 3
Practitioners 2
-
Steven D Ebers, MD
Medicare Care Compare: Nursing home
- Listed as
- Salem Care Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 26, 2024
- Medicare certification status
- Active
- Certified beds
- 60 · 43.4 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265885
- Legal name
- ELM INVESTMENT GROUP LLC
- Doing business as
- SALEM CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 26, 2024
- Last certification
- Aug 9, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- NORTHSTAR EQUITY GROUP
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 13, 2022 in MO
- Enrollment address
- 1203 N Jackson St
Salem, MO 65560-1076 - Nursing home name
- SALEM CARE CENTER
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Krisley Properties LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 22.5% |
| Silver Maple Properties LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2024 | 22.5% |
| Williza Properties |
5% Or Greater Indirect Ownership Interest | Feb 1, 2024 | 22.5% |
| North Star Equity Group LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2024 | 10% |
| MJZ Investment LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2024 | 22.5% |
| Brooke Bigham |
Corporate Director |
Feb 1, 2023 | 100% |
| Elm Investment Group LLC |
5% Or Greater Direct Ownership Interest | Feb 1, 2024 | 100% |
| Jeremy Schumacher |
W-2 Managing Employee |
Jun 22, 2023 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240402002281 | MO | Part a Provider - Skilled Nursing Facility | 5799123311 | Practice locations: Salem, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1203 N Jackson St
Salem, MO 65560-1076
Mailing address
PO Box 191
Mountain Grove, MO 65711-0191
Phone (417) 425-3062
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386641819 | Medicaid | MO |
Other names
- Salem Care Center
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.