NPIMap

Organization Active NPI

Eldercare of Mid-Missouri VI Inc.

Doing business as StoneBridge Westphalia

  • Skilled Nursing Facility
  • Westphalia, MO
National Provider Identifier
1245497080
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 VI INC.
Doing business as
StoneBridge Westphalia
Practice address
1899 Highway 63
Westphalia, MO 65085-2215
Phone
(573) 455-2280
NPI assigned
May 20, 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

1899 Highway 63
Westphalia, MO 65085-2215

Mailing address

1899 Highway 63
Westphalia, MO 65085-2215
Phone (636) 477-3280

Other identifiers 1

IdentifierTypeStateIssuer
107797003MedicaidMO

Other names 1

  • StoneBridge Westphalia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000549 MO Part A Provider - Skilled Nursing Facility 1456426386 Practice locations: Westphalia, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245497080. Details of each certification follow.

Skilled nursing facility certification: CCN 265777

Legal name
ELDERCARE OF MID-MISSOURI VI INC.
Doing business as
STONEBRIDGE WESTPHALIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 28, 2004
Last certification
May 9, 2024
Beds
64
Ownership / control type
Corporation
Multi-facility organization
STONEBRIDGE SENIOR LIVING
Organization structure
CorporationProprietary
Enrollment address
1899 Highway 63
Westphalia, MO 65085-2358
Nursing home name
STONEBRIDGE WESTPHALIA
Affiliated entity
STONEBRIDGE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stonebridge WestphaliaCCN 265777 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 28, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6458.3 residents per day on average
Chain
Stonebridge Senior Living12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0886785Westphalia Hills-a Stonebridge Comm1899 Highway 63, Westphalia, MO 65085Certificate of waiverMay 25, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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 Control Nov 1, 2021
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
Michael P Dudenhoeffer Individual Operational/Managerial Control May 1, 2014
Adp of the SNF May 1, 2014
Lierman Family Co VI, LLC Organization, Saint Charles, MO LLC Adp of the SNF May 1, 2008
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
Kara Knight Individual Operational/Managerial Control Mar 1, 2018
Adp of the SNF Mar 1, 2018
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
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 25, 2016
Busey Corporation Organization, Clayton, MO Corporation, Financial institution Operational/Managerial Control Sep 10, 2023
Tracy Berhorst Individual Operational/Managerial Control Jan 25, 2024
Adp of the SNF Jan 25, 2024
Steven Ciegel Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022
Individual Managing Control - Governing BodyCeo Sep 10, 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 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.

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1245497080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 HIGHWAY 63",
            "city": "WESTPHALIA",
            "state": "MO",
            "postal_code": "650852215",
            "telephone_number": "636-477-3280",
            "fax_number": "636-477-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 HIGHWAY 63",
            "city": "WESTPHALIA",
            "state": "MO",
            "postal_code": "650852215",
            "telephone_number": "573-455-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF MID-MISSOURI VI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107797003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge Westphalia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westphalia, MO

Sources for this page

Verify at the official NPI Registry.