Active NPI
Superior Manor of Festus LLC
- Skilled Nursing Facility
- Festus, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SUPERIOR MANOR OF FESTUS LLC
- Practice address
- 12827 State Road TT
Festus, MO 63028-4351 - Phone
- (636) 352-1000
- Fax
- (636) 638-1189
- NPI assigned
- May 27, 2022
- Last updated
- Jan 5, 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
- Sara Nicole Winbush
- Title
- Manager
- Phone
- (314) 624-5575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
12827 State Road TT
Festus, MO 63028-4351
Mailing address
231 S Bemiston Ave
Saint Louis, MO 63105-1988
Phone (314) 624-5575
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@superior314.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220617000944 | MO | Part A Provider - Skilled Nursing Facility | 4880073055 | Practice locations: Festus, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1437897543. Details of each certification follow.
Skilled nursing facility certification: CCN 265884
- Legal name
- SUPERIOR MANOR OF FESTUS LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 28, 2022
- Last certification
- May 16, 2025
- Beds
- 55
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 12827 State Road TT
Festus, MO 63028-4351 - Nursing home name
- SUPERIOR MANOR OF FESTUS, LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Superior Manor of Festus, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 28, 2022
- Medicare certification status
- Active
- Certified beds
- 55
- Penalties (3 years)
- 6
National Provider Directory
National Provider DirectoryLocations
231 S Bemiston Ave
Saint Louis, MO 63105
Phone (314) 422-9657
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Cheryl Strickland | Operational/Managerial Control | Jun 12, 2023 | |
| Adp of the SNF | Jun 12, 2023 | ||
| Caring Professionals LLC | Operational/Managerial Control | Nov 8, 2023 | |
| Adp of the SNF | Apr 14, 2025 | ||
| Betrina Neff | Operational/Managerial Control | Apr 12, 2024 | |
| Adp of the SNF | Apr 12, 2024 | ||
| Sara Winbush | 5% Or Greater Direct Ownership Interest | Aug 14, 2020 | 100% |
| Operational/Managerial Control | Aug 14, 2020 | ||
| Adp of the SNF | Aug 7, 2020 | ||
| Christopher T Labonte | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Adp of the SNF | Mar 16, 2025 | ||
| Forvis Mazars LLP | Adp of the SNF | Jun 23, 2023 | |
| Choice Rehabilitation LLC | Operational/Managerial Control | Jun 12, 2023 | |
| Adp of the SNF | Apr 14, 2025 | ||
| 12827 Property LLC | Adp of the SNF | Aug 7, 2020 | |
| Randle & Associates, LLC, Cpas | Adp of the SNF | Mar 19, 2025 | |
| Adp of the SNF | Nov 8, 2023 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Town and Country, MO
- NPI 1093813099
Adp of the SNF, Operational/Managerial Control
-
- Occupational Therapist
- Omaha, NE
- NPI 1558996967
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Garden View Care Center at Dougherty Ferry
- Skilled Nursing Facility
- Valley Park, MO
- NPI 1205996634
Choice Rehabilitation LLC
-
- Skilled Nursing Facility
- O'Fallon, MO
- NPI 1073508768
Choice Rehabilitation LLC
-
dba Moore-Few Care Center
- Skilled Nursing Facility
- Nevada, MO
- NPI 1528055704
Choice Rehabilitation LLC
-
dba Ratliff Care Center
- Skilled Nursing Facility
- Cape Girardeau, MO
- NPI 1669528105
Choice Rehabilitation 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.
-
- Internal Medicine Physician
- Ballwin, MO
- NPI 1508932195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1437897543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 S BEMISTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631051988",
"telephone_number": "314-624-5575",
"fax_number": "314-921-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12827 STATE ROAD TT",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284351",
"telephone_number": "636-352-1000",
"fax_number": "636-638-1189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR MANOR OF FESTUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-27",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "WINBUSH",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "314-624-5575"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@superior314.com",
"affiliation": "N",
"address_1": "12827 State Rd. Highway TT",
"city": "Festus",
"state": "MO",
"country_code": "US",
"postal_code": "63028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.