NPIMap

Organization Active NPI

St. Luke'S Rehabilitation Hospital, L.L.C.

  • Rehabilitation Hospital
  • Chesterfield, MO
National Provider Identifier
1255587747
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
ST. LUKE'S REHABILITATION HOSPITAL, L.L.C.
Practice address
14709 Olive Blvd
Chesterfield, MO 63017-2221
Phone
(314) 317-5700
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mr. Anthony Misitano
Title
President
Phone
(717) 731-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

14709 Olive Blvd
Chesterfield, MO 63017-2221

Mailing address

1828 Good Hope Rd
Enola, PA 17025-1203
Phone (717) 731-9660

Other names 1

  • St. Luke's Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081015000322 MO Part A Provider - Hospital 4880752112 Practice locations: Chesterfield, MO

Hospital certification: CCN 263030

Legal name
ST. LUKE'S REHABILITATION HOSPITAL, L.L.C.
Doing business as
ST LUKE'S REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Nov 25, 2008
Last certification
Jan 24, 2015
Beds
35
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
14709 Olive Blvd
Chesterfield, MO 63017-2221
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St Luke'S Rehabilitation HospitalCCN 263030
Ownership
For profit
Certified
Nov 25, 2008
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
St Lukes Episcopal-Presbyterian Hospital Organization, Chesterfield, MO Non-profit 5% Or Greater Direct Ownership Interest Apr 7, 2015 40%
Karick E Stober Individual Corporate OfficerVice President Aug 1, 2019
OtherChain Home Office Administrator Aug 1, 2019
Anthony F Misitano Individual Corporate Director Aug 1, 2019
Pam Cubed LLC Organization, Enola, PA LLC, Chain home office 5% Or Greater Indirect Ownership Interest Aug 1, 2019 100%
Other Apr 1, 2024
Pam Cubed at Chesterfield LLC Organization, Enola, PA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2019 60%
Operational/Managerial Control Aug 1, 2019
Wells Fargo Bank, N.a. Organization, Minneapolis, MN 5% Or Greater Security Interest Jul 23, 2024
Jennifer Rockwell Individual W-2 Managing EmployeeCeo Sep 15, 2025
Brittany Misitano Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2019 73.5%

Owners & managing parties with NPI records 4

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

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1255587747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251203",
            "telephone_number": "717-731-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14709 OLIVE BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172221",
            "telephone_number": "314-317-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S REHABILITATION HOSPITAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "MISITANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-731-9660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke's Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.