NPIMap

Organization Active NPI

Maryland Heights Center for Behavioral Health LLC

  • Psychiatric Hospital
  • Maryland Heights, MO
National Provider Identifier
1386309250
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
MARYLAND HEIGHTS CENTER FOR BEHAVIORAL HEALTH LLC
Practice address
11100 Ayrshire Drive
Maryland Heights, MO 63043
Phone
(615) 890-2020
NPI assigned
Nov 4, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Melvin Rector
Title
Manager
Phone
(636) 734-6975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

11100 Ayrshire Drive
Maryland Heights, MO 63043

Mailing address

PO Box 1398
Murfreesboro, TN 37133-1398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220209001178 MO Part A Provider - Hospital 6709279086 Practice locations: Maryland Heights, MO
O20250711000733 MO Part B Supplier - Clinic/Group Practice 6709279086 Receives reassigned benefits from 1 practitioner
Practice locations: Maryland Heights, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386309250. Details of each certification follow.

Hospital certification: CCN 264035

Legal name
MARYLAND HEIGHTS CENTER FOR BEHAVIORAL HEALTH LLC
Doing business as
MARYLAND HEIGHTS CENTER FOR BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 20, 2023
Last certification
Jan 20, 2023
Beds
20
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Nov 14, 2018 in MO
Enrollment address
11100 Ayrshire Dr
Maryland Heights, MO 63043-1973
Other Hospital Practice Location
Hospital subgroups
Psychiatric unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Maryland Heights Center for Behavioral HealthCCN 264035 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
26D2254173Maryland Heights Center for Behavioral Health11100 Ayrshire Dr, Maryland Heights, MO 63043Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Member of 2

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Robert M Ussery Individual Operational/Managerial Control Mar 1, 2022
Laura Outlaw Individual W-2 Managing Employee Apr 20, 2023
Melvin Rector Individual Corporate OfficerManager of LLC Mar 1, 2022
Operational/Managerial ControlManager of LLC Mar 1, 2022
NHC-Op LP Organization, Murfreesboro, TN For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2022 100%
National Healthcare Corporation Organization, Murfreesboro, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2022 99%

Owners & managing parties with NPI records 17

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

  • NHC-Op LP
    • Home Health Agency
    • Aiken, SC
    • NPI 1003846734

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Milan, TN
    • NPI 1124043914

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Springfield, TN
    • NPI 1255356143

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Greenwood, SC
    • NPI 1386689529

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Crawfordville, FL
    • NPI 1417987140

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Athens, TN
    • NPI 1578588455

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Vero Beach, FL
    • NPI 1629009972

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Columbia, TN
    • NPI 1669498937

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Marianna, FL
    • NPI 1801827258

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Chattanooga, TN
    • NPI 1811912637

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Merritt Island, FL
    • NPI 1952331688

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • NHC-Op LP
    • Home Health Agency
    • Panama City Beach, FL
    • NPI 1952332348

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 17

Facilities with the same owner 100

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

View all 100

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1386309250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1398",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371331398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 AYRSHIRE DRIVE",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "615-890-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND HEIGHTS CENTER FOR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "RECTOR",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-734-6975"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.