NPIMap

Organization Active NPI

Eldercare of Mid-Missouri IX, Inc.

Doing business as StoneBridge Chillicothe

  • Skilled Nursing Facility
  • Chillicothe, MO
National Provider Identifier
1154588085
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 IX, INC.
Doing business as
StoneBridge Chillicothe
Practice address
2601 Fair St
Chillicothe, MO 64601-3525
Phone
(660) 646-1230
NPI assigned
May 19, 2008
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
Mark Lierman
Title
Authorized Official
Phone
(636) 477-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2601 Fair St
Chillicothe, MO 64601-3525

Mailing address

2601 Fair St
Chillicothe, MO 64601-3525
Phone (636) 477-3280

Other names 1

  • StoneBridge Chillicothe Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000610 MO Part A Provider - Skilled Nursing Facility 0941375885 Practice locations: Chillicothe, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154588085. Details of each certification follow.

Skilled nursing facility certification: CCN 265785

Legal name
ELDERCARE OF MID-MISSOURI IX INC
Doing business as
STONEBRIDGE CHILLICOTHE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 23, 2004
Last certification
Jan 10, 2025
Beds
75
Ownership / control type
Corporation
Multi-facility organization
ELDERCARE MANAGEMENT
Most recent change of ownership
May 1, 2008
Organization structure
CorporationProprietary
Enrollment address
2601 Fair St
Chillicothe, MO 64601-3525
Nursing home name
STONEBRIDGE CHILLICOTHE
Affiliated entity
STONEBRIDGE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stonebridge ChillicotheCCN 265785 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 23, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7556.2 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-Cho Administrat Nov 1, 2021 50%
Adp of the SNF Nov 1, 2021
Eldercare Management Services Inc Organization, Saint Charles, MO Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Mar 12, 2008
Adp of the SNF Apr 22, 2025
Jeanne Thayer Individual Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Individual Adp of the SNF Jan 3, 2022
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
Jamie West Individual Operational/Managerial Control Mar 1, 2019
Adp of the SNF Mar 1, 2019
Lierman Family Co IX, LLC Organization, Saint Charles, MO LLC Adp of the SNF May 1, 2008
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 25, 2016
Busey Corporation Organization, Clayton, MO Financial institution Operational/Managerial Control Sep 10, 2023
Richard L Smith Individual Operational/Managerial Control May 15, 2023
Adp of the SNF May 15, 2023
Individual Adp of the SNF Feb 1, 2023

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 2

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1154588085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 FAIR ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013525",
            "telephone_number": "636-477-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FAIR ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013525",
            "telephone_number": "660-646-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF MID-MISSOURI IX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "LIERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "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 Chillicothe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, MO

Sources for this page

Verify at the official NPI Registry.