Jefferson Mo Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JEFFERSON MO HEALTHCARE, LLC

Doing business as

Jefferson City Care & Rehab Center

Practice address

1720 Vieth Dr
Jefferson City, MO 65109-2056

Phone

(573) 635-6193

NPI assigned

Jun 22, 2026

Organization subpart

No

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

Authorized official

Name

Judah Bienstock

Title

Ceo, Managing Member

Phone

(314) 631-3000

Specialties & licenses 1

Addresses

Other names 1

• Jefferson City Care & Rehab Center Doing business as

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1336075993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N LINDBERGH BLVD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 VIETH DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092056",
            "telephone_number": "573-635-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON MO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "CEO, MANAGING MEMBER",
        "authorized_official_telephone_number": "314-631-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson City Care & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson City Renal Services LLC
• Jefferson City Renal Services LLC
• Jefferson City Residential, LLC
• Jefferson City Residential, LLC
• Jefferson City Wellness & Rehabilitation LLC
• Ashlee M Jenkins, MSW, LCSW
• Richard B. Jennett, M.D.
• Sarah Loveland Jennett, FNP-C
• Tawnyia Jerome, M.D.
• Jesse R. Kirchhoff

• Skilled Nursing Facility in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.