Organization Active NPI

Bentwood Healthcare LLC

  • Skilled Nursing Facility
  • Florissant, MO
National Provider Identifier
1265796387
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040654 Issued in MO
Legal business name
BENTWOOD HEALTHCARE LLC
Practice address
1501 Charbonier Rd
Florissant, MO 63031-5308
Phone
(314) 921-2700
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Judah Bienstock
Title
Managing Member
Phone
(314) 812-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040654 MO Primary

Addresses

Primary practice location

1501 Charbonier Rd
Florissant, MO 63031-5308

Mailing address

1501 Charbonier Rd
Florissant, MO 63031-5308
Phone (314) 921-2700

Other names 1

  • Bent-Wood 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
O20120814000202 MO Part A Provider - Skilled Nursing Facility 0244486884 Practice locations: Florissant, MO

Skilled nursing facility certification: CCN 265757

Legal name
BENTWOOD HEALTHCARE LLC
Doing business as
BENTWOOD NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 16, 2003
Last certification
May 15, 2024
Beds
116
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
1501 Charbonier Rd
Florissant, MO 63031-5308
Nursing home name
BENTWOOD NURSING & REHAB
Affiliated entity
MGM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bentwood Nursing & RehabCCN 265757
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 16, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
116101.4 residents per day on average
Chain
MGM Healthcare27 facilities in the chain
Penalties (3 years)
3Fines totaling $107,465

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
26D0437355Bent-Wood Nursing Center1501 Charbonier, Florissant, MO 63031Certificate of waiverNov 7, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Tonya Lewis Individual W-2 Managing EmployeeAdministrator Feb 21, 2023 100%
Baruch Jeremias Individual 5% Or Greater Direct Ownership Interest May 31, 2019 38.75%
Michael Riggins Individual W-2 Managing EmployeeAdministrator Jun 28, 2022 100%
Yb Acquisition LLC Organization, Saint Louis, MO LLC 5% Or Greater Direct Ownership Interest Dec 31, 2022 61.25%
Judah Bienstock Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2022 61.25%
Corporate DirectorManaging Member Aug 1, 2012 100%

Facilities with the same owner 1

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

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 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": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1265796387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CHARBONIER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315308",
            "telephone_number": "314-921-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CHARBONIER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315308",
            "telephone_number": "314-921-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTWOOD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-812-2550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "040654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bent-Wood Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.