Mount Carmel Communities O'Fallon, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOUNT CARMEL COMMUNITIES O'FALLON, LLC

Practice address

206 N Main St
O Fallon, MO 63366-2276

Phone

(636) 240-5754

Fax

(636) 272-4324

NPI assigned

Dec 22, 2010

Last updated

May 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. C. C. Brown, LNA

Title

Executive Director

Phone

(636) 240-5754

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225332851. Details of each certification follow.

• CCN 265839 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265839

Legal name

MOUNT CARMEL COMMUNITIES O'FALLON LLC

Doing business as

ABBEY SENIOR HEALTH

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Mar 1, 2011

Last certification

Oct 25, 2024

Beds

55

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

May 1, 2016

Organization structure

CorporationProprietary

Enrollment address

206 N Main St
O Fallon, MO 63366-2290

Nursing home name

ABBEY SENIOR HEALTH

Listed as

Abbey Senior HealthCCN 265839 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 1, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5550.4 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

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

• Manisha S Patwardhan, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Chesterfield, MO
  • NPI 1790755536

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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.

• Manisha S Patwardhan, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Chesterfield, MO
  • NPI 1790755536
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jei Florensari Martin, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1033104047

  Nursing home

  Care Compare affiliation
• Manisha S Patwardhan, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Chesterfield, MO
  • NPI 1790755536

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1225332851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N MAIN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662276",
            "telephone_number": "636-240-5754",
            "fax_number": "636-272-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MAIN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662276",
            "telephone_number": "636-240-5754",
            "fax_number": "636-272-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL COMMUNITIES O'FALLON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-240-5754",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.