Active NPI
Bel Oak of Meramec LLC
Doing business as Meramec Nursing
- Skilled Nursing Facility
- Sullivan, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BEL OAK OF MERAMEC LLC
- Doing business as
- Meramec Nursing
Meramec Nursing Center - Practice address
- 940 Mattox Dr
Sullivan, MO 63080-2364 - Phone
- (636) 394-3000
- NPI assigned
- Jul 24, 2024
- Last updated
- Jul 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig Weiner
- Title
- Manager
- Phone
- (636) 394-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
940 Mattox Dr
Sullivan, MO 63080-2364
Mailing address
437 Sovereign CT
Ballwin, MO 63011-4432
Phone (636) 394-3000
Other names 2
- Meramec Nursing
- Meramec Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241209000173 | MO | Part A Provider - Skilled Nursing Facility | 7719413244 | Practice locations: Sullivan, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1265260996. Details of each certification follow.
Skilled nursing facility certification: CCN 265554
- Legal name
- BEL OAK OF MERAMEC LLC
- Doing business as
- MERAMEC NURSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 9, 1993
- Last certification
- Nov 22, 2024
- Beds
- 60
- Ownership / control type
- Corporation
- Most recent change of ownership
- Jun 1, 2024
- Organization structure
- LLC
- Enrollment address
- 940 Mattox Dr
Sullivan, MO 63080-2364 - Nursing home name
- MERAMEC NURSING
- Affiliated entity
- COMMUNITY CARE CENTERS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Meramec Nursing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 9, 1993
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Community Care Centers
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0886725 | Bel Oak of Meramec | Certificate of waiver | May 25, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| First Mid Bank & Trust NA | 5% Or Greater Mortgage Interest | Jun 1, 2024 | 40% |
| Adp of the SNF | Jun 1, 2024 | ||
| Craig Weiner | 5% Or Greater Direct Ownership Interest | Jun 1, 2024 | 50% |
| Operational/Managerial Control | Jun 1, 2024 | ||
| Autumn Graham | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| GC Asset Holding LLC | Adp of the SNF | May 8, 2025 | |
| Jose R Remo | Adp of the SNF | Jun 1, 2024 | |
| Jodie Pate | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Country Life Acres GMW GST Non-Exempt Trust | 5% Or Greater Mortgage Interest | Jun 1, 2024 | 60% |
| Limited Partnership Interest | Jun 1, 2024 | 99% | |
| Adp of the SNF | Jun 1, 2024 | ||
| Gina Weiner | 5% Or Greater Direct Ownership Interest | Jun 1, 2024 | 50% |
| Forvis Mazars LLP | Adp of the SNF | Jun 1, 2024 | |
| GC of Meramec LLC | 5% Or Greater Mortgage Interest | Jun 1, 2024 | 60% |
| Adp of the SNF | Jun 1, 2024 | ||
| GC Asset Management LLC | Operational/Managerial Control | Jun 1, 2024 |
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 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Country View Nursing
- Skilled Nursing Facility
- Bowling Green, MO
- NPI 1003644733
GC Asset Management LLC
-
- Skilled Nursing Facility
- Gainesville, MO
- NPI 1639884281
GC Asset Management LLC
-
dba Lemay Nursing
- Skilled Nursing Facility
- Saint Louis, MO
- NPI 1700614435
GC Asset Management LLC
-
- Skilled Nursing Facility
- Mount Vernon, MO
- NPI 1619682275
GC Asset Management LLC
-
- Skilled Nursing Facility
- Ste Genevieve, MO
- NPI 1881309441
GC Asset Management LLC
-
dba Union Care Center
- Skilled Nursing Facility
- Union, MO
- NPI 1497583124
GC Asset Management LLC
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Sullivan, MO
- NPI 1528262698
-
- Internal Medicine Physician
- Rolla, MO
- NPI 1023087731
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1376577825
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": "1721779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1265260996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 SOVEREIGN CT",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114432",
"telephone_number": "636-394-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 MATTOX DR",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630802364",
"telephone_number": "636-394-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEL OAK OF MERAMEC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "WEINER",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "636-394-3000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meramec Nursing",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Meramec Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sullivan, MO
- Jenica J Bartolotta, MOT, OTR/L, CLT
- BC Missouri Emergency Physicians, LLP
- Danielle Bealmear, LPC
- Aleta Diane Beaty, LCSW
- Katherine M Beckett, FNP
- Cassidy Victoria Bellville, APRN
- Bio-Medical Applications of Missouri, Inc. (Fresenius Medical Care Sullivan)
- Mary J Bjornstad, FNP
- Sadie Blankenship
- Barbara L Blaue, WHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.