NPIMap

Organization Active NPI

Normandy Healthcare, LLC

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1063923969
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORMANDY HEALTHCARE, LLC
Practice address
7301 Saint Charles Rock Rd
Saint Louis, MO 63133-1737
Phone
(314) 862-0555
NPI assigned
Oct 18, 2017
Last updated
Oct 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Judah Bienstock
Title
Manager
Phone
(314) 631-3000

Specialties & licenses 1

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

Addresses

Primary practice location

7301 Saint Charles Rock Rd
Saint Louis, MO 63133-1737

Mailing address

477 N Lindbergh Blvd Ste 310
Saint Louis, MO 63141-7856
Phone (314) 631-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180207001736 MO Part A Provider - Skilled Nursing Facility 4183984321 Practice locations: Saint Louis, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063923969. Details of each certification follow.

Skilled nursing facility certification: CCN 265578

Legal name
NORMANDY HEALTHCARE LLC
Doing business as
NORMANDY NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 11, 1994
Last certification
May 16, 2025
Beds
116
Ownership / control type
Corporation
Multi-facility organization
MIDWEST GERIATRIC MANAGEMENT
Most recent change of ownership
Dec 1, 2017
Organization structure
LLCProprietary
Incorporated
Aug 22, 2017 in DE
Enrollment address
7301 Saint Charles Rock Rd
Saint Louis, MO 63133-1737
Nursing home name
NORMANDY NURSING CENTER
Affiliated entity
MGM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Normandy Nursing CenterCCN 265578 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 11, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11696.3 residents per day on average
Chain
MGM Healthcare27 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $9,315

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
Baruch Jeremias Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2020 50%
Normandy Investments, LLC Organization, Saint Louis, MO Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 18, 2017 47%
Laura Wunder Individual W-2 Managing EmployeeAdministrator Mar 11, 2022 100%
10-26 Nationwide TR Organization, Lakewood, NJ 5% Or Greater Direct Ownership Interest Jan 1, 2020 50%
Judah Bienstock Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2020 47%
Corporate OfficerManager Dec 1, 2017 100%
Corporate DirectorManager Dec 1, 2017 100%

Facilities with the same owner 39

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

View all 39

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 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": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1063923969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N LINDBERGH BLVD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417856",
            "telephone_number": "314-631-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631331737",
            "telephone_number": "314-862-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-631-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.