Active NPI
Charic Dr Healthcare LLC
Doing business as Aegis Health and Rehabilitation
- Skilled Nursing Facility
- Wildwood, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2023
- 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
- William Miller
- Title
- Authorized Person
- Phone
- (253) 268-2410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jun 5, 1993
- Medicare certification status
- Active
- Certified beds
- 66
- Chain
- Vertical Health Services
- Penalties (3 years)
- 3
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 |
|---|---|---|---|
| 26D0900465 | Charic Dr Healthcare LLC | Certificate of waiver | Apr 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| William Miller | Operational/Managerial Control | Jun 1, 2023 | |
| Indirect Ownership Interest | Jun 1, 2023 | 100% | |
| Jacob Resch | Operational/Managerial Control | Jan 2, 2024 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Elizabeth Hudgins Maylack | Operational/Managerial Control | Nov 1, 2024 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Charic Dr Consulting LLC | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Mar 14, 2025 | ||
| VHS Mo Opco Holdings LLC | 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.
-
- Family Medicine Physician
- Saint Charles, MO
- NPI 1154687077
Adp of the SNF, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Saint Charles, MO
- NPI 1154687077
-
- Internal Medicine Physician
- Florissant, MO
- NPI 1699705293
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"
}
]
}
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- Caretenders Visiting Services of St. Louis, LLC
- Michael J Carney, MD
- Katherine Carvalho, BCBA
- Michelle Caulk, PHD, LMHC, LPC,
- Cherry Hills Dental Group Inc
- Cherry Hills Family Eye Care, L.L.C.
- John Nicholas Chiapel, D.D.S.
- Chiropractic of Wildwood, LLC
- Hannah Chism, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.