Organization Active NPI

American Nursing & Rehab LLC

Doing business as ST Joe Manor

  • Skilled Nursing Facility
  • Bonne Terre, MO
National Provider Identifier
1093346975
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AMERICAN NURSING & REHAB LLC
Doing business as
ST Joe Manor
Practice address
10 Lake Drive
Bonne Terre, MO 63628-1820
Phone
(573) 358-2800
NPI assigned
Jan 30, 2020
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Mr. Shafiq Malik
Title
Owner
Phone
(573) 335-3044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

10 Lake Drive
Bonne Terre, MO 63628-1820

Mailing address

2215 Broadway St
Cape Girardeau, MO 63701
Phone (573) 335-3044

Other names 1

  • ST Joe Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200129002585 MO Part A Provider - Skilled Nursing Facility 4880020478 Practice locations: Bonne Terre, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093346975. Details of each certification follow.

Skilled nursing facility certification: CCN 265701

Legal name
AMERICAN NURSING & REHAB LLC
Doing business as
ST JOE MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 12, 1999
Last certification
Feb 13, 2025
Beds
155
Ownership / control type
Limited Liability Corporation
Multi-facility organization
AMERICAN NURSING AND REHAB
Organization structure
LLCProprietary
Enrollment address
10 Lake Dr
Bonne Terre, MO 63628-1820
Nursing home name
ST JOE MANOR
Affiliated entity
SHAFIQ MALIK

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Joe ManorCCN 265701 · All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 12, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
155148.4 residents per day on average
Chain
Shafiq Malik9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
American Nursing Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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
Omer Malik Individual 5% Or Greater Direct Ownership Interest Nov 19, 2019 50%
Corporate OfficerVice President Nov 19, 2019
Operational/Managerial Control Nov 19, 2019
Adp of the SNF Nov 19, 2019
Sharon Greco Individual Operational/Managerial Control Feb 1, 2020
Adp of the SNF Apr 25, 2025
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Oct 1, 2009
Guy D Roberts Individual Operational/Managerial Control Feb 1, 2020
Adp of the SNF Sep 11, 2025
Shafiq Malik Individual 5% Or Greater Direct Ownership InterestPresident Nov 19, 2019 50%
Corporate OfficerPresident Nov 19, 2019
Operational/Managerial Control Nov 19, 2019
Adp of the SNF Nov 19, 2019

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 6

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 5

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": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1093346975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-335-3044",
            "fax_number": "573-335-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LAKE DRIVE",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281820",
            "telephone_number": "573-358-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN NURSING & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHAFIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-335-3044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST Joe Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonne Terre, MO

Sources for this page

Verify at the official NPI Registry.