NPIMap

Organization Active NPI

Scenic Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Herculaneum, MO
National Provider Identifier
1346315975
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031464 Issued in MO
Legal business name
SCENIC NURSING AND REHABILITATION CENTER, LLC
Practice address
1333 Scenic Dr
Herculaneum, MO 63048-1550
Phone
(636) 931-2995
Fax
(636) 931-8760
NPI assigned
Nov 21, 2006
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Mr. Norbert A Bennett
Title
Co-Chief Executive Officer
Phone
(716) 662-4955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031464 MO Primary

Addresses

Primary practice location

1333 Scenic Dr
Herculaneum, MO 63048-1550

Mailing address

PO Box 428
Orchard Park, NY 14127-0428
Phone (716) 662-4955

Other identifiers 1

IdentifierTypeStateIssuer
101931202MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ENDPOINT Other The White Stone Group d/b/a Vyne Medical

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000865 MO Part A Provider - Skilled Nursing Facility 4789634569 Practice locations: Herculaneum, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346315975. Details of each certification follow.

Skilled nursing facility certification: CCN 265216

Legal name
SCENIC NURSING AND REHABILITATION CENTER, LLC
Doing business as
SCENIC NURSING AND REHABILITATION CENTER, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 21, 1984
Last certification
Apr 11, 2025
Beds
189
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jan 1, 2005
Organization structure
LLCProprietary
Incorporated
Dec 1, 2004 in MO
Enrollment address
1333 Scenic Dr
Herculaneum, MO 63048-1550

Care Compare: Nursing home

Medicare Care Compare
Listed as
Scenic Wellness and Rehabilitation CenterCCN 265216 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 21, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
189168.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Scenic Nursing and Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
D & N LLC Organization, Orchard Park, NY LLC 5% Or Greater Direct Ownership Interest Dec 1, 2004 50%
Donad T Denz Irrv TR Organization, Buffalo, NY 5% Or Greater Indirect Ownership Interest May 23, 2008 6%
Norbert a Bennett Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2004 32.45%
Tyler Czarnecki Individual W-2 Managing EmployeeExecutive Director Jan 3, 2023 100%
Donald T Denz Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2004 44%
Norbert a Bennett Irrv TR Fbo Grandchildren Organization, Holland, NY 5% Or Greater Indirect Ownership Interest May 23, 2008 5.85%
Norbert a Bennett Irrv TR Fbo Children Organization, Holland, NY 5% Or Greater Indirect Ownership Interest May 23, 2008 11.7%
Jamiee Allen Individual W-2 Managing EmployeeDirector of Nursing Oct 11, 2011 100%
DTD HC LLC Organization, Orchard Park, NY LLC 5% Or Greater Direct Ownership Interest Dec 1, 2004 50%

Facilities with the same owner 30

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

View all 30

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 2

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1346315975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141270428",
            "telephone_number": "716-662-4955",
            "fax_number": "716-667-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 SCENIC DR",
            "city": "HERCULANEUM",
            "state": "MO",
            "postal_code": "630481550",
            "telephone_number": "636-931-2995",
            "fax_number": "636-931-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-662-4955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101931202",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ENDPOINT",
            "affiliation": "Y",
            "affiliationName": "The White Stone Group d/b/a Vyne Medical",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 Ashford Ctr N Ste 300",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303384863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herculaneum, MO

Sources for this page

Verify at the official NPI Registry.