Organization Active NPI

Charic Dr Healthcare LLC

Doing business as Aegis Health and Rehabilitation

  • Skilled Nursing Facility
  • Wildwood, MO
National Provider Identifier
1437833563
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHARIC DR HEALTHCARE LLC
Doing business as
Aegis Health and Rehabilitation
Practice address
1441 Charic Dr
Wildwood, MO 63021-2001
Phone
(636) 394-2522
NPI assigned
Jun 9, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
William Miller
Title
Authorized Person
Phone
(253) 268-2410

Specialties & licenses 1

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

Addresses

Primary practice location

1441 Charic Dr
Wildwood, MO 63021-2001

Mailing address

11012 Canyon Rd E Ste 8
Puyallup, WA 98373-3002

Other names 1

  • Aegis Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809001025 MO Part A Provider - Skilled Nursing Facility 0547622433 Practice locations: Wildwood, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437833563. Details of each certification follow.

Skilled nursing facility certification: CCN 265539

Legal name
CHARIC DR HEALTHCARE LLC
Doing business as
AEGIS HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 5, 1993
Last certification
May 30, 2025
Beds
66
Ownership / control type
Individual
Multi-facility organization
VERTICAL HEALTH SERVICES
Most recent change of ownership
Jun 1, 2023
Organization structure
LLCProprietary
Enrollment address
1441 Charic Dr
Wildwood, MO 63021-2001
Nursing home name
AEGIS HEALTH AND REHABILITATION
Affiliated entity
VERTICAL HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aegis Health and RehabilitationCCN 265539 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jun 5, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6661.8 residents per day on average
Chain
Vertical Health Services15 facilities in the chain
Penalties (3 years)
3Fines totaling $275,739

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
26D0900465Charic Dr Healthcare LLC1441 Charic Drive, Wildwood, MO 63021Certificate of waiverApr 26, 2027

National Provider Directory

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
William Miller Individual Operational/Managerial Control Jun 1, 2023
Indirect Ownership Interest Jun 1, 2023 100%
Jacob Resch Individual Operational/Managerial Control Jan 2, 2024
Adp of the SNF Apr 7, 2025
Elizabeth Hudgins Maylack Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Apr 7, 2025
Charic Dr Consulting LLC Organization, Puyallup, WA LLC, Management services company, For-profit Operational/Managerial Control Jun 1, 2023
Adp of the SNF Mar 14, 2025
VHS Mo Opco Holdings LLC Organization, Puyallup, WA LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jun 1, 2023 100%

Owners & managing parties with NPI records 1

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

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": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1437833563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 CANYON RD E STE 8",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CHARIC DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630212001",
            "telephone_number": "636-394-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIC DR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "253-268-2410"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wildwood, MO

Sources for this page

Verify at the official NPI Registry.