NPIMap

Organization Active NPI

Delmar Gardens Home Care, Inc.

  • Home Health Agency
  • Chesterfield, MO
National Provider Identifier
1295720118
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
493-19HH Issued in MO
Legal business name
DELMAR GARDENS HOME CARE, INC.
Practice address
14805 N Outer 40 Rd
Suite 320
Chesterfield, MO 63017-6060
Phone
(636) 733-7330
Fax
(636) 733-7340
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Authorized official

Name
Bryan Backowski
Title
Director
Phone
(636) 733-7330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 493-19HH MO Primary

Addresses

Primary practice location

14805 N Outer 40 Rd
Suite 320
Chesterfield, MO 63017-6060

Mailing address

14805 N Outer 40 Rd
Suite 300
Chesterfield, MO 63017-6060
Phone (636) 733-7000

Other identifiers 1

IdentifierTypeStateIssuer
586849705MedicaidMO

Other names 1

  • Delmar Gardens Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050325000490 MO Part A Provider - Home Health Agency 7416903158 Practice locations: Chesterfield, MO

Home health agency certification: CCN 267431

Legal name
DELMAR GARDENS HOME CARE, INC.
Doing business as
DELMAR GARDENS HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 23, 1993
Last certification
Feb 24, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 13, 1995 in MO
Enrollment address
14805 N Outer 40 Rd
Ste 320
Chesterfield, MO 63017-6060

Care Compare: Home health agency

Medicare Care Compare
Listed as
Delmar Gardens Home Care IncCCN 267431
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 23, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
26D0881568Delmar Gardens Home Care Inc14805 North Outer 40 Rd, Ste 320, Chesterfield, MO 63017Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

14805 North Outer 40 Rd
Ste 320
Chesterfield, MO 63017
Phone (636) 536-0183

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Non-Gstfamily Trust Est U/W Israel Goldberg Fbo Diane Fredman Organization, Chesterfield, MO 5% Or Greater Indirect Ownership Interest Apr 10, 2013 5.71%
Bryan M Backowski Individual W-2 Managing EmployeeAdministrator Oct 1, 2012
Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara Organization, Chesterfield, MO 5% Or Greater Indirect Ownership Interest Jan 8, 1997 8.04%
Delmar Gardens Management Services Inc Organization, Chesterfield, MO Corporation, Management services company, For-profit Operational/Managerial Control Apr 1, 2005 100%
Delmar Gardens Enterprises Inc Organization, Chesterfield, MO Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 13, 1995 100%
Gabe Grossberg Individual 5% Or Greater Indirect Ownership Interest Dec 13, 1995 16.33%
Corporate OfficerPresident Dec 13, 1995
Corporate DirectorDirector Dec 13, 1995
OtherTrustee Jan 8, 1997
Goldberg-Nom LLC Organization, Chesterfield, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 3, 2000 25%
George T Grossberg Individual 5% Or Greater Indirect Ownership Interest Jan 8, 1997 11.33%
OtherTrustee Jan 8, 1997
Non-GST Family Trust Est U/W of Israel Goldberg Fbo Janice Bitanski Organization, Chesterfield, MO 5% Or Greater Indirect Ownership Interest Apr 10, 2013 5.71%
Howard M Oppenheimer Individual Corporate OfficerVice-President & Secretary Dec 13, 1995
Corporate DirectorDirector Dec 13, 1995
OtherTrustee Apr 3, 2000
Kenneth F Marx Individual Corporate OfficerChief Financial Officer Jun 11, 2019
George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara Organization, Chesterfield, MO 5% Or Greater Indirect Ownership Interest Jan 8, 1997 8.04%
Non-GST Family Trust Established U/W of Israel Goldberg Fbo Harry Zvi Organization, Chesterfield, MO 5% Or Greater Indirect Ownership Interest Apr 10, 2013 5.71%

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 16

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

  • Delmar Gardens North Operating, LLC
    • Skilled Nursing Facility
    • Black Jack, MO
    • NPI 1750376612

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens of Chesterfield Operating, LLC
    • Skilled Nursing Facility
    • Chesterfield, MO
    • NPI 1861487712

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens of Creve Coeur Operating, LLC
    • Skilled Nursing Facility
    • Creve Coeur, MO
    • NPI 1265427124

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens of Meramec Valley Operating, LLC
    • Skilled Nursing Facility
    • Fenton, MO
    • NPI 1013903525

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens of O'Fallon, LLC
    • Skilled Nursing Facility
    • O Fallon, MO
    • NPI 1942295803

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens of South County, Inc.
    • Skilled Nursing Facility
    • Saint Louis, MO
    • NPI 1659366516

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens on the Green Operating, LLC
    • Skilled Nursing Facility
    • Chesterfield, MO
    • NPI 1841285798

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens West Operating, LLC
    • Skilled Nursing Facility
    • Town & Country, MO
    • NPI 1043206584

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Pathways Community Hospice, LLC
    • Community Based Hospice Care Agency
    • Chesterfield, MO
    • NPI 1447245360

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens of Gwinnett Operating, LLC
    • Skilled Nursing Facility
    • Lawrenceville, GA
    • NPI 1255327862

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens of Lenexa Operating, LLC
    • Skilled Nursing Facility
    • Lenexa, KS
    • NPI 1336134295

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
  • Delmar Gardens of Omaha, LLC
    • Skilled Nursing Facility
    • Omaha, NE
    • NPI 1417942277

    Delmar Gardens Enterprises Inc, Delmar Gardens Management Services Inc, Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara, George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara, Goldberg-Nom LLC, Non-GST Family T

    CMS ownership
View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1295720118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD",
            "address_2": "SUITE 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "636-733-7000",
            "fax_number": "636-733-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD",
            "address_2": "SUITE 320",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "636-733-7330",
            "fax_number": "636-733-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMAR GARDENS HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "BACKOWSKI",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "636-733-7330"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "493-19HH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "586849705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmar Gardens Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.