Active NPI
Mary Queen and Mother Association
Doing business as Mary Queen and Mother Center
- Skilled Nursing Facility
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030630
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101454601 | Medicaid | MO |
Other names 1
- Mary Queen and Mother Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Mar 5, 1982
- Medicare certification status
- Active
- Certified beds
- 217
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0439239 | Mary, Queen and Mother Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin Klingerman | Corporate Director | Aug 3, 2017 | |
| Sister Suzanne Wesley | Corporate Director | May 20, 1998 | |
| Jamie Lyons | 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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1639122633
-
- Internal Medicine Physician
- Fenton, MO
- NPI 1659317188
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Chesterfield, MO
- NPI 1053971846
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.