NPIMap

Organization Active NPI

Brook View Nursing Home, Inc.

  • Skilled Nursing Facility
  • Maryland Heights, MO
National Provider Identifier
1366449811
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BROOK VIEW NURSING HOME, INC.
Practice address
2963 Doddridge Ave
Maryland Heights, MO 63043-1736
Phone
(314) 291-4557
Fax
(314) 291-8548
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Mr. Mark Lierman
Title
Authorized Official
Phone
(636) 477-3280

Specialties & licenses 1

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

Addresses

Primary practice location

2963 Doddridge Ave
Maryland Heights, MO 63043-1736

Mailing address

2963 Doddridge Ave
Maryland Heights, MO 63043-1736
Phone (636) 477-3280

Other identifiers 1

IdentifierTypeStateIssuer
103083804MedicaidMO

Other names 1

  • StoneBridge Maryland Heights Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000475 MO Part A Provider - Skilled Nursing Facility 6800937814 Practice locations: Maryland Heights, MO

Skilled nursing facility certification: CCN 265486

Legal name
BROOK VIEW NURSING HOME, INC.
Doing business as
STONEBRIDGE MARYLAND HEIGHTS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 10, 1992
Last certification
Feb 5, 2025
Beds
223
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
2963 Doddridge Ave
Maryland Heights, MO 63043-1736
Nursing home name
STONEBRIDGE MARYLAND HEIGHTS
Affiliated entity
STONEBRIDGE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stonebridge Maryland HeightsCCN 265486
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 10, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
223142.2 residents per day on average
Chain
Stonebridge Senior Living12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Beth Miller Individual Corporate OfficerSecretary Feb 17, 2023
Eric Doerhoff Individual Operational/Managerial ControlVP of Operations-Cho Administrat Nov 1, 2021 50%
Adp of the SNF Nov 1, 2021
Eldercare Management Services Inc Organization, Saint Charles, MO Corporation, Management services company, Chain home office Operational/Managerial Control Mar 29, 1999
Adp of the SNF Apr 22, 2025
Jeanne Thayer Individual Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Benita Clark Individual Operational/Managerial Control Aug 15, 2022
Adp of the SNF Aug 15, 2022
Lierman Family Partnership Organization, Saint Charles, MO Adp of the SNF Feb 10, 1992
Naveed Razzaque Individual Operational/Managerial Control Jan 1, 2003
Adp of the SNF Jan 1, 2003
Wipfli LLP Organization, Clayton, MO Adp of the SNF Jan 1, 2025
Bridge Rehabilitation Inc Organization, Saint Charles, MO Corporation, Medical provider/supplier Operational/Managerial Control Feb 1, 2024
Adp of the SNF Apr 22, 2025
Mark W Lierman Individual 5% Or Greater Direct Ownership InterestPresident Nov 12, 1996 100%
Corporate OfficerPresident/Board of Dierctor Nov 12, 1996 100%
Operational/Managerial Control Nov 12, 1996
Adp of the SNF Nov 12, 1996
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 25, 2016
Busey Corporation Organization, Clayton, MO Corporation, Financial institution Operational/Managerial Control Sep 10, 2023
Individual Adp of the SNF Jan 1, 2020
Greg Butz Individual Adp of the SNF Sep 15, 2020

Owners & managing parties with NPI records 1

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1366449811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 DODDRIDGE AVE",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431736",
            "telephone_number": "636-477-3280",
            "fax_number": "636-477-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 DODDRIDGE AVE",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431736",
            "telephone_number": "314-291-4557",
            "fax_number": "314-291-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK VIEW NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "LIERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "636-477-3280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103083804",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge Maryland Heights",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "StoneBridge Maryland Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.