American Nursing & Rehab LLC
Organization Active NPI Skilled Nursing Facility · Bonne Terre, MO
NPI 1093346975 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1093346975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- AMERICAN NURSING & REHAB LLC
- Practice address
- 10 Lake Drive
Bonne Terre, MO 63628-1820 - Phone
- (573) 358-2800
- NPI assigned
- Jan 30, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Shafiq Malik
- Title
- Owner
- Phone
- (573) 335-3044
Owners & managing parties with NPI records 1
-
Guy D Roberts, D.O.
Corporate family (same tax ID) 1
Practitioners 6
-
Steven Crawford, DO
-
Steven D Ebers, MD
-
Bruce E Harrison, M.D.
-
Laurence Lum, D.O.
-
Paul S Moniz, DO
-
Guy D Roberts, D.O.
Affiliated clinicians 5
-
Dana R Day, M.D.
-
Steven D Ebers, MD
-
Bruce E Harrison, M.D.
-
Laurence Lum, D.O.
-
Guy D Roberts, D.O.
Medicare Care Compare: Nursing home
- Listed as
- St Joe Manor
- 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
- Active
- Certified beds
- 155 · 148.4 residents per day on average
- Chain
- Shafiq Malik
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
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
- LLC · Proprietary
- Enrollment address
- 10 Lake Dr
Bonne Terre, MO 63628-1820 - Nursing home name
- ST JOE MANOR
- Affiliated entity
- SHAFIQ MALIK
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Omer Malik |
5% Or Greater Direct Ownership Interest | Nov 19, 2019 | 50% |
| Corporate Officer |
Nov 19, 2019 | ||
| Operational/Managerial Control | Nov 19, 2019 | ||
| Adp of the SNF | Nov 19, 2019 | ||
| Sharon Greco |
Operational/Managerial Control | Feb 1, 2020 | |
| Adp of the SNF | Apr 25, 2025 | ||
| Forvis Mazars LLP |
Adp of the SNF | Oct 1, 2009 | |
| Guy D Roberts |
Operational/Managerial Control | Feb 1, 2020 | |
| Adp of the SNF | Sep 11, 2025 | ||
| Shafiq Malik |
5% Or Greater Direct Ownership Interest |
Nov 19, 2019 | 50% |
| Corporate Officer |
Nov 19, 2019 | ||
| Operational/Managerial Control | Nov 19, 2019 | ||
| Adp of the SNF | Nov 19, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200129002585 | MO | Part a Provider - Skilled Nursing Facility | 4880020478 | Practice locations: Bonne Terre, MO |
National Provider Directory
- Tax ID family
- American Nursing Rehab LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
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
- ST Joe Manor
Other providers in Bonne Terre, MO
- American Nursing & Rehab LLC
- Tiffany Arnold
- Bateman Holdings LLC
- Kathryn Marie Bateman
- BC Missouri Emergency Physicians LLP
All providers in Bonne Terre, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. 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.