Organization Active NPI

Bel Oak of Meramec LLC

Doing business as Meramec Nursing

  • Skilled Nursing Facility
  • Sullivan, MO
National Provider Identifier
1265260996
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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)CodeLicenseStatePrimary
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 Doing business as
  • Meramec Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 NursingCCN 265554 · All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 9, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6046.6 residents per day on average
Chain
Community Care Centers8 facilities in the chain
Penalties (3 years)
3Fines totaling $46,449

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
26D0886725Bel Oak of Meramec940 Mattox Dr, Sullivan, MO 63080Certificate of waiverMay 25, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
First Mid Bank & Trust NA Organization, O Fallon, MO Financial institution 5% Or Greater Mortgage Interest Jun 1, 2024 40%
Adp of the SNF Jun 1, 2024
Craig Weiner Individual 5% Or Greater Direct Ownership InterestManager Jun 1, 2024 50%
Operational/Managerial Control Jun 1, 2024
Autumn Graham Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
GC Asset Holding LLC Organization, Ballwin, MO LLC, Holding company Adp of the SNF May 8, 2025
Jose R Remo Individual Adp of the SNF Jun 1, 2024
Jodie Pate Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Country Life Acres GMW GST Non-Exempt Trust Organization, Ballwin, MO 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 Individual 5% Or Greater Direct Ownership InterestManager Jun 1, 2024 50%
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jun 1, 2024
GC of Meramec LLC Organization, Ballwin, MO LLC 5% Or Greater Mortgage Interest Jun 1, 2024 60%
Adp of the SNF Jun 1, 2024
GC Asset Management LLC Organization, Ballwin, MO 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.

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.

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

Sources for this page

Verify at the official NPI Registry.