NPIMap

Organization Active NPI

Eldercare of Mid-Missouri VII, Inc.

Doing business as StoneBridge Villa Marie

  • Skilled Nursing Facility
  • Jefferson City, MO
National Provider Identifier
1386801215
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELDERCARE OF MID-MISSOURI VII, INC.
Doing business as
StoneBridge Villa Marie
Practice address
1030 Edmonds St
Jefferson City, MO 65109-5213
Phone
(573) 761-6700
NPI assigned
May 19, 2008
Last updated
Dec 1, 2020By the provider in NPPES
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
Mark Lierman
Title
Authorized Official
Phone
(636) 477-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1030 Edmonds St
Jefferson City, MO 65109-5213

Mailing address

1030 Edmonds St
Jefferson City, MO 65109-5213
Phone (636) 477-3280

Other identifiers 1

IdentifierTypeStateIssuer
101771905MedicaidMO

Other names 1

  • StoneBridge Villa Marie Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080923000206 MO Part A Provider - Skilled Nursing Facility 9234204165 Practice locations: Jefferson City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386801215. Details of each certification follow.

Skilled nursing facility certification: CCN 265208

Legal name
ELDERCARE OF MID-MISSOURI VII, INC.
Doing business as
STONEBRIDGE VILLA MARIE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 3, 1983
Last certification
Aug 9, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
May 1, 2008
Organization structure
CorporationProprietary
Enrollment address
1030 Edmonds St
Jefferson City, MO 65109-5213
Nursing home name
STONEBRIDGE VILLA MARIE
Affiliated entity
STONEBRIDGE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stonebridge Villa MarieCCN 265208 · All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 3, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12064.7 residents per day on average
Chain
Stonebridge Senior Living12 facilities in the chain

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
26D0893654Villa Marie - a Stonebridge Comm1030 Edmonds Street, Jefferson City, MO 65109Certificate of waiverOct 25, 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 Jan 17, 2023
Eric Doerhoff Individual Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Eldercare Management Services Inc Organization, Saint Charles, MO Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Mar 12, 2008
Adp of the SNF Apr 22, 2025
Jeanne Thayer Individual Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Eric a Barnes Individual Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
Wipfli LLP Organization, Clayton, MO Adp of the SNF Jan 1, 2025
Lierman Family Co VII, LLC Organization, Saint Charles, MO LLC Adp of the SNF May 1, 2008
Bridge Rehabilitation Inc Organization, Saint Charles, MO Corporation, Medical provider/supplier Operational/Managerial Control Feb 1, 2024
Adp of the SNF Apr 22, 2025
Kara Knight Individual Operational/Managerial Control Mar 1, 2018
Adp of the SNF Mar 1, 2018
Mark W Lierman Individual 5% Or Greater Direct Ownership InterestPresident Mar 12, 2008 100%
Corporate OfficerPresident Nov 1, 2021 100%
Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 25, 2016
Busey Corporation Organization, Clayton, MO Financial institution Operational/Managerial Control Sep 10, 2023
Steven Ciegel Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022
John McBryant Individual Operational/Managerial Control Oct 4, 2024
Adp of the SNF Oct 4, 2024

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 1

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 1

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1386801215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 EDMONDS ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095213",
            "telephone_number": "636-477-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 EDMONDS ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095213",
            "telephone_number": "573-761-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF MID-MISSOURI VII, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101771905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge Villa Marie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.