Organization Active NPI

Sage Nursing & Rehab LLC

Doing business as Magnolia Wellness Center

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1427897255
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAGE NURSING & REHAB LLC
Doing business as
Magnolia Wellness Center
Practice address
3421 Gasconade St
Saint Louis, MO 63118-4201
Phone
(314) 832-4700
NPI assigned
May 21, 2024
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
David Garetz
Title
Cfo
Phone
(323) 987-5954

Specialties & licenses 1

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

Addresses

Primary practice location

3421 Gasconade St
Saint Louis, MO 63118-4201

Mailing address

3421 Gasconade St
Saint Louis, MO 63118-4201
Phone (314) 832-4700

Other names 1

  • Magnolia Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240924000277 MO Part A Provider - Skilled Nursing Facility 8729529334 Practice locations: Saint Louis, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427897255. Details of each certification follow.

Skilled nursing facility certification: CCN 265672

Legal name
SAGE NURSING & REHAB LLC
Doing business as
MAGNOLIA WELLNESS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 12, 1997
Last certification
Feb 15, 2024
Beds
120
Ownership / control type
Individual
Organization structure
LLCProprietary
Enrollment address
3421 Gasconade St
Saint Louis, MO 63118-4201
Nursing home name
MAGNOLIA WELLNESS CENTER
Affiliated entity
OPCO SKILLED MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Magnolia Wellness CenterCCN 265672 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Mar 12, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12077.8 residents per day on average
Chain
Opco Skilled Management66 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
7Fines totaling $209,790

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
26D0927078Magnolia Wellness Center3421 Gasconade St, Saint Louis, MO 63118Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Blooming Willow Partners LLC Organization, Los Angeles, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 97%
Pas B Sol Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jul 1, 2024 34.15%
Derhoben Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jul 1, 2024 63.42%
Denise Thordsen Individual Operational/Managerial Control Jul 1, 2024
321 Gasconade Street Mo LLC Organization, Los Angeles, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 1, 2024 100%
Adam Mindle Individual Trustee of the SNF Jul 1, 2024
Mordechai Kaplan Individual Trustee of the SNF Jul 1, 2024
Niv Davidovich Individual Trustee of the SNF May 1, 2024
Elizabeth Hagins Individual Trustee of the SNF Jul 1, 2024
Esther Kaplan Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 1%
Jennifer Sternshein Individual Trustee of the SNF Jul 1, 2024
David Garetz Individual Corporate OfficerCfo Jul 1, 2024
Mosha Kaplan Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 2.5%
Wildflower Healthcare LLC Organization, Los Angeles, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
Operational/Managerial Control Nov 25, 2024
Caroline Zimmerman Individual Trustee of the SNF Jul 1, 2024

Facilities with the same owner 4

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": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1427897255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 GASCONADE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184201",
            "telephone_number": "314-832-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 GASCONADE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184201",
            "telephone_number": "314-832-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE NURSING & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "GARETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-987-5954"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.