Active NPI
Sage Nursing & Rehab LLC
Doing business as Magnolia Wellness Center
- Skilled Nursing Facility
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2025
- 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
- David Garetz
- Title
- Cfo
- Phone
- (323) 987-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Mar 12, 1997
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Opco Skilled Management
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 7
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 |
|---|---|---|---|
| 26D0927078 | Magnolia Wellness Center | Certificate of waiver | Apr 8, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Blooming Willow Partners LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 97% |
| Pas B Sol Trust | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 34.15% |
| Derhoben Trust | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 63.42% |
| Denise Thordsen | Operational/Managerial Control | Jul 1, 2024 | |
| 321 Gasconade Street Mo LLC | 5% Or Greater Mortgage Interest | Jul 1, 2024 | 100% |
| Adam Mindle | Trustee of the SNF | Jul 1, 2024 | |
| Mordechai Kaplan | Trustee of the SNF | Jul 1, 2024 | |
| Niv Davidovich | Trustee of the SNF | May 1, 2024 | |
| Elizabeth Hagins | Trustee of the SNF | Jul 1, 2024 | |
| Esther Kaplan | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 1% |
| Jennifer Sternshein | Trustee of the SNF | Jul 1, 2024 | |
| David Garetz | Corporate Officer | Jul 1, 2024 | |
| Mosha Kaplan | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 2.5% |
| Wildflower Healthcare LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2024 | 100% |
| Operational/Managerial Control | Nov 25, 2024 | ||
| Caroline Zimmerman | 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.
-
dba Bluebird Wellness & Rehabilitation
- Skilled Nursing Facility
- Saint Louis, MO
- NPI 1699528422
Blooming Willow Partners LLC, Derhoben Trust, Pas B Sol Trust, Wildflower Healthcare LLC
-
dba Blue Springs Wellness & Rehabilitation
- Skilled Nursing Facility
- Blue Springs, MO
- NPI 1639998479
Blooming Willow Partners LLC, Derhoben Trust, Pas B Sol Trust, Wildflower Healthcare LLC
-
dba Maple Grove Wellness & Rehabilitation
- Skilled Nursing Facility
- Fenton, MO
- NPI 1861231698
Blooming Willow Partners LLC, Derhoben Trust, Pas B Sol Trust, Wildflower Healthcare LLC
-
dba Willowcreek Wellness & Rehabilitation
- Skilled Nursing Facility
- Florissant, MO
- NPI 1780437517
Blooming Willow Partners LLC, Derhoben Trust, Pas B Sol Trust, Wildflower Healthcare LLC
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1184619835
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1184619835
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.