NPIMap

Organization Active NPI

Sjmdhs, LLC

Doing business as Mercy Continuing Care Hospital

  • Long Term Care Hospital
  • Chesterfield, MO
National Provider Identifier
1275590432
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
498-0 Issued in MO
Legal business name
SJMDHS, LLC
Doing business as
Mercy Continuing Care Hospital
Practice address
13190 S Outer 40
Level I
Chesterfield, MO 63017-5917
Phone
(314) 392-6380
Fax
(314) 392-6379
NPI assigned
Apr 28, 2006
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Paul Veillon
Title
Board Member
Phone
(713) 277-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 498-0 MO Primary

Addresses

Primary practice location

13190 S Outer 40
Level I
Chesterfield, MO 63017-5917

Mailing address

13190 S Outer 40
Level I
Chesterfield, MO 63017-5917
Phone (314) 392-6380

Other identifiers 5

IdentifierTypeStateIssuer
1385744OtherMOAETNA PVN
207853OtherMOBLUE CROSS BLUE SHIELD
013805700MedicaidMO
7572911OtherMOAETNA PIN
401054OtherMOHEALTHLINK

Other names 1

  • Mercy Continuing Care Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275590432. Details of each certification follow.

Hospital certification: CCN 262012

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MERCY CONTINUING CARE HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jul 23, 2013
Provider type (POS)
Hospital – Long-term
Participating since
Feb 1, 1999
Last certification
Jan 26, 2012
Beds
54
Ownership / control type
Private (for profit)
Most recent change of ownership
May 1, 2006 (1 total)
Facility address
13190 South Outer 40 Road
Chesterfield, MO 63017

National Provider Directory

National Provider Directory

Member of 1

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

Locations

13190 South Outer 40 Rd
#1
Chesterfield, MO 63017
Phone (314) 392-6380

13190 South Outer 40 Rd
#I
Chesterfield, MO 63017
Phone (314) 392-6380

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1275590432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40",
            "address_2": "LEVEL I",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "314-392-6380",
            "fax_number": "314-392-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40",
            "address_2": "LEVEL I",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "314-392-6380",
            "fax_number": "314-392-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJMDHS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "VEILLON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "713-277-2330"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MO",
            "license": "498-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PVN",
            "identifier": "1385744",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "207853",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013805700",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7572911",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "401054",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Continuing Care Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.