Organization Active NPI

Mary Queen and Mother Association

Doing business as Mary Queen and Mother Center

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1356341077
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030630 Issued in MO
Legal business name
MARY QUEEN AND MOTHER ASSOCIATION
Doing business as
Mary Queen and Mother Center
Practice address
7601 Watson Rd
Saint Louis, MO 63119-5001
Phone
(314) 961-8000
Fax
(314) 961-3580
NPI assigned
Jul 22, 2005
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Ms. Karen M. Ledbetter, CNHA
Title
Administrator
Phone
(314) 961-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030630 MO Primary
Pediatric Skilled Nursing Facility 3140N1450X

Addresses

Primary practice location

7601 Watson Rd
Saint Louis, MO 63119-5001

Mailing address

7601 Watson Rd
Saint Louis, MO 63119-5001
Phone (314) 961-8000

Other identifiers 1

IdentifierTypeStateIssuer
101454601MedicaidMO

Other names 1

  • Mary Queen and Mother Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070802000142 MO Part A Provider - Skilled Nursing Facility 3971694183 Practice locations: Saint Louis, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356341077. Details of each certification follow.

Skilled nursing facility certification: CCN 265159

Legal name
MARY QUEEN AND MOTHER ASSOCIATION
Doing business as
MARY QUEEN AND MOTHER CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 5, 1982
Last certification
Mar 24, 2025
Beds
230 (217 certified)
Ownership / control type
Church Related
Multi-facility organization
CARDINAL RITTER SENIOR SERVICES
Organization structure
CorporationNon-profit
Incorporated
Dec 15, 1978 in MO
Enrollment address
7601 Watson Rd
Saint Louis, MO 63119-5001
Nursing home name
MARY, QUEEN AND MOTHER CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mary, Queen and Mother CenterCCN 265159 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Mar 5, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
21772.8 residents per day on average
Penalties (3 years)
3Fines totaling $19,133

Processed by Care Compare on Aug 1, 2026.

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
26D0439239Mary, Queen and Mother Center7601 Watson Road, Saint Louis, MO 63119Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Kevin Klingerman Individual Corporate DirectorInterim Administrator Aug 3, 2017
Sister Suzanne Wesley Individual Corporate DirectorCeo May 20, 1998
Jamie Lyons Individual W-2 Managing Employee Sep 19, 2017

Practitioners & affiliated clinicians

Practitioners 2

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 4

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": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1356341077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195001",
            "telephone_number": "314-961-8000",
            "fax_number": "314-961-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195001",
            "telephone_number": "314-961-8000",
            "fax_number": "314-961-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY QUEEN AND MOTHER ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-961-8000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030630",
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101454601",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Queen and Mother Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.