St. Peters Community Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ST. PETERS COMMUNITY HEALTHCARE, LLC

Practice address

5400 Executive Centre Pkwy
Saint Peters, MO 63376-2594

Phone

(636) 922-7600

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Alicia Torres

Title

Manager

Phone

(385) 342-5175

Specialties & licenses 2

Addresses

Other names 1

• St. Peters Post Acute Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265824

Legal name

ST PETERS COMMUNITY HEALTHCARE LLC

Doing business as

ST. PETERS POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Oct 29, 2008

Last certification

Dec 19, 2024

Beds

130

Ownership / control type

Limited Liability Corporation

Multi-facility organization

POST ACUTE CARE SOLUTIONS

Most recent change of ownership

Mar 1, 2024

Organization structure

LLCProprietary

Incorporated

Aug 2, 2023 in MO

Enrollment address

5400 Executive Centre Pkwy
Saint Peters, MO 63376-2594

Nursing home name

ST PETERS POST ACUTE

Affiliated entity

PACS GROUP

Listed as

St Peters Post AcuteCCN 265824

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 29, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

130117.1 residents per day on average

Chain

Pacs Group274 facilities in the chain

Penalties (3 years)

2Fines totaling $69,999

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 15

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Michael William Nash, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1376577825

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salome O Kibii, DO

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1881197747
  NPD (past)
• Rameez Malik, M.D.

  • Internal Medicine Physician
  • Clayton, MO
  • NPI 1376999417
  NPD (past)
• Jei Florensari Martin, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1033104047
  NPD (past)

Affiliated clinicians 2

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

• George Mansour, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1194072835

  Nursing home

  Care Compare affiliation
• Jei Florensari Martin, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1033104047

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1326819210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 EXECUTIVE CENTRE PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762594",
            "telephone_number": "636-922-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERS COMMUNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "385-342-5175"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Peters Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Peters Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Charles County Ambulance District
• St. Charles Nephrology
• St. Charles Orthopaedic Surgery Associates, Inc.
• St. Charles Sports&Physical Therapy, Inc.
• St. Louis Heart Institute Cardiothoracic Surgeons, Inc.
• St. Peters Cosmetic and Family Dentistry LLC
• St. Peters Manor, Inc.
• St. Peters Orthodontics LLC
• Laurie Stabile, OTR/L
• Courtney Stallis, OTR/L

• All providers in Saint Peters, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.