NPIMap

Organization Active NPI

SSM Health Care St. Louis

Doing business as SSM Health DePaul Hospital - Anna House

  • Skilled Nursing Facility
  • Bridgeton, MO
National Provider Identifier
1346237112
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
41410 Issued in MO
Legal business name
SSM HEALTH CARE ST. LOUIS
Doing business as
SSM Health DePaul Hospital - Anna House
Practice address
12303 Depaul Dr.
Bridgeton, MO 63044-2512
Phone
(314) 209-8814
Fax
(314) 209-8823
NPI assigned
Oct 5, 2005
Last updated
Aug 15, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SSM HEALTH CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Mr. Ellis D. Hawkins
Title
Hospital President
Phone
(314) 344-7210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 41410 MO Primary

Addresses

Primary practice location

12303 Depaul Dr.
Bridgeton, MO 63044-2512

Mailing address

12303 Depaul Dr.
Bridgeton, MO 63044-2512
Phone (314) 209-8814

Other identifiers 1

IdentifierTypeStateIssuer
101498608MedicaidMO

Other names 1

  • SSM Health DePaul Hospital - Anna House Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160316000648 MO Part A Provider - Skilled Nursing Facility 7810800737 Practice locations: Bridgeton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346237112. Details of each certification follow.

Skilled nursing facility certification: CCN 265842

Legal name
SSM HEALTH CARE ST LOUIS
Doing business as
SSM HEALTH DEPAUL HOSPITAL - ANNA HOUSE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 11, 2012
Last certification
Sep 26, 2024
Beds
105
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
12303 De Paul Dr
Bridgeton, MO 63044-2512
Nursing home name
SSM HEALTH DEPAUL HOSPITAL - ANNA HOUSE
Affiliated entity
SSM HEALTH

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Care Compare: Nursing home

Medicare Care Compare
Listed as
SSM Health Depaul Hospital - Anna HouseCCN 265842 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 11, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10588.1 residents per day on average
Chain
SSM Health2 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
William D Huffstutler M15 organizations share this tax ID, including this one
Part of
SSM Health Care Corporation

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member of 1

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

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
Kevin Smith Individual Corporate OfficerTreasurer Oct 1, 2023
St. Andrew's Management Services Organization, Saint Louis, MO For-profit Operational/Managerial Control Jul 5, 2012
The Sarah Community Organization, Bridgeton, MO Non-profit Operational/Managerial Control Jul 5, 2012
Jeremy M Fotheringham Individual Corporate OfficerRegional President, SSM Health Apr 2, 2021
Douglas P Long Individual Corporate OfficerSecretary Jun 1, 2019
SSM Health Care Corporation Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2015 85%
Eileen Lamm Individual Corporate Officer Mar 23, 2020
SSM Health Care St Louis Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2015 100%
St Louis University Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2015 15%
Tracy J Voyles Individual Contracted Managing EmployeeAdministrator May 2, 2016
Timothy Buller Individual Corporate OfficerRegional Cfo Financial Strategy Sep 1, 2015
Operational/Managerial ControlRegional Cfo Financial Strategy Sep 1, 2015
Laura Kaiser Individual Corporate OfficerPresident, Ceo, SSM Health May 1, 2017
Jan Cerny Individual Corporate OfficerVice Chariperson Apr 2, 2021

Owners & managing parties with NPI records 13

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

View all 13

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SSM Health St. Clare Hospital - FentonFenton, MO, CCN 260081 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
SSM Health Rehabilitation HospitalRichmond Heights, MO, CCN 263031 Hospital 5% Or Greater Direct Ownership Interest (49%) May 1, 2009
SSM Health Saint Louis University HospitalSaint Louis, MO, CCN 260105 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
SSM Health Saint Louis University HospitalSaint Louis, MO, CCN 26S105 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
SSM Health St Joseph Hospital - Lake Saint LouisLake Saint Louis, MO, CCN 260200 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 17, 2014
SSM Health St Joseph Hospital - St CharlesSaint Charles, MO, CCN 260005 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 11, 1984
Oct 12, 2015
SSM Health St. Mary's Hospital - St. LouisSaint Louis, MO, CCN 26S091 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 13, 2014
SSM Health St. Mary's Hospital - St LouisSaint Louis, MO, CCN 260091 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 11, 1984
SSM Health Depaul Hospital St LouisBridgeton, MO, CCN 26S104 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 16, 2013
SSM Health Depaul Hospital - St LouisBridgeton, MO, CCN 260104 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 10, 2014

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • SSM Health Care St. Louis

    dba SSM Health DePaul Hospital - St. Louis

    • Psychiatric Hospital Unit
    • Bridgeton, MO
    • NPI 1053481861

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health Cardinal Glennon Children's Hospital

    • General Acute Care Hospital
    • Saint Louis, MO
    • NPI 1336387836

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health St. Joseph Hospital - St. Charles

    • General Acute Care Hospital
    • Saint Charles, MO
    • NPI 1467521146

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health DePaul Hospital - St. Louis

    • General Acute Care Hospital
    • Bridgeton, MO
    • NPI 1598835308

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health St. Mary's Hospital - St. Louis

    • Psychiatric Hospital Unit
    • Saint Louis, MO
    • NPI 1780763284

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health St. Clare Hospital - Fenton

    • General Acute Care Hospital
    • Fenton, MO
    • NPI 1851496152

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health St Joseph Hospital - Lake Saint Louis

    • General Acute Care Hospital
    • Lake St Louis, MO
    • NPI 1871665380

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • SSM Health Care St. Louis

    dba SSM Health St. Mary's Hospital - St. Louis

    • General Acute Care Hospital
    • Saint Louis, MO
    • NPI 1962572396

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • SSM Select Rehab St Louis LLC
    • Rehabilitation Hospital
    • Richmond Heights, MO
    • NPI 1659511988

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • SSM-Sluh Inc

    dba SSM Health Saint Louis University Hospital

    • Psychiatric Hospital Unit
    • Saint Louis, MO
    • NPI 1528443702

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • SSM-Sluh Inc

    dba SSM Health Saint Louis University Hospital

    • General Acute Care Hospital
    • Saint Louis, MO
    • NPI 1942685920

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 31

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

View all 31

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1346237112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DR.",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "314-209-8814",
            "fax_number": "314-209-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DR.",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "314-209-8814",
            "fax_number": "314-209-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH CARE ST. LOUIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH CARE CORPORATION",
        "enumeration_date": "2005-10-05",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "HOSPITAL PRESIDENT",
        "authorized_official_telephone_number": "314-344-7210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "41410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101498608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health DePaul Hospital - Anna House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health DePaul Hospital - Anna House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.