Organization Active NPI

Superior Manor of Festus LLC

  • Skilled Nursing Facility
  • Festus, MO
National Provider Identifier
1437897543
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address info@superior314.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 265884 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 28, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5550.5 residents per day on average
Penalties (3 years)
6Fines totaling $36,697

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Cheryl Strickland Individual Operational/Managerial Control Jun 12, 2023
Adp of the SNF Jun 12, 2023
Caring Professionals LLC Organization, Creve Coeur, MO LLC Operational/Managerial Control Nov 8, 2023
Adp of the SNF Apr 14, 2025
Betrina Neff Individual Operational/Managerial Control Apr 12, 2024
Adp of the SNF Apr 12, 2024
Sara Winbush Individual 5% Or Greater Direct Ownership InterestMember Aug 14, 2020 100%
Operational/Managerial Control Aug 14, 2020
Adp of the SNF Aug 7, 2020
Christopher T Labonte Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Individual Adp of the SNF Mar 16, 2025
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jun 23, 2023
Choice Rehabilitation LLC Organization, Creve Coeur, MO LLC, Medical provider/supplier Operational/Managerial Control Jun 12, 2023
Adp of the SNF Apr 14, 2025
12827 Property LLC Organization, Saint Louis, MO LLC Adp of the SNF Aug 7, 2020
Randle & Associates, LLC, Cpas Organization, Black Jack, MO LLC Adp of the SNF Mar 19, 2025
Individual 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.

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.

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

Verify at the official NPI Registry.