Friendship Village of South County

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030733 Issued in MO

Legal business name

FRIENDSHIP VILLAGE OF SOUTH COUNTY

Practice address

12651 Village Circle Dr
Saint Louis, MO 63127-1778

Phone

(314) 842-6840

Fax

(314) 525-7500

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Sue Champion

Title

Officer

Phone

(314) 842-6840

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265136

Legal name

FRIENDSHIP VILLAGE OF SOUTH COUNTY

Doing business as

FRIENDSHIP VILLAGE SUNSET HILLS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Dec 19, 1978

Last certification

Jan 28, 2025

Beds

144

Ownership / control type

Nonprofit Corporation

Multi-facility organization

FRIENDSHIP VILLAGE

Organization structure

CorporationNon-profit

Enrollment address

12651 Village Circle Dr
Saint Louis, MO 63127-1778

Nursing home name

FRIENDSHIP VILLAGE SUNSET HILLS

Listed as

Friendship Village Sunset HillsCCN 265136

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 19, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

144130.6 residents per day on average

Penalties (3 years)

1Fines totaling $14,433

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

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

• Sirisha Vaddi Brosch, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1215197173

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Friendship Village of West County

  • Skilled Nursing Facility
  • Chesterfield, MO
  • NPI 1386635910

  FV Services, Inc

  CMS ownership
• FV at Home - Home Health, LLC

  • Home Health Agency
  • Chesterfield, MO
  • NPI 1700347275

  FV Services, Inc

  CMS ownership
• FV Hospice by Friendship Village, LLC

  • Community Based Hospice Care Agency
  • Saint Louis, MO
  • NPI 1629757935

  FV Services, Inc

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sirisha Vaddi Brosch, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1215197173
  NPD (past)

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sirisha Vaddi Brosch, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1215197173

  Nursing home

  Care Compare affiliation
• Russell KL Won, M.D.

  • General Practice Physician
  • Saint Louis, MO
  • NPI 1245327725

  Nursing home

  Care Compare affiliation
• Rudra Sailaja Kondreddi, MD

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1720212699

  Nursing home

  Care Compare affiliation
• Fernando Madero Gorostieta, M.D.

  • Hospitalist Physician
  • The Woodlands, TX
  • NPI 1720219637

  Nursing home

  Care Compare affiliation
• Faraz Masood, MD

  • Hospitalist Physician
  • South Chesterfield, VA
  • NPI 1609071661

  Nursing home

  Care Compare affiliation
• Andy Huy Nguyen, D.O.

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1053748459

  Nursing home

  Care Compare affiliation
• Bindit Savjibhai Patel, M.D.

  • Internal Medicine Physician
  • Cary, NC
  • NPI 1568618874

  Nursing home

  Care Compare affiliation
• Jayson Alan Weir, M.D.

  • Internal Medicine Physician
  • Carson City, NV
  • NPI 1518257138

  Nursing home

  Care Compare affiliation
• Chanda Yaqub, MD

  • Hospitalist Physician
  • Richmond, VA
  • NPI 1740596469

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1477544104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 VILLAGE CIRCLE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271778",
            "telephone_number": "314-842-6840",
            "fax_number": "314-525-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 VILLAGE CIRCLE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271778",
            "telephone_number": "314-842-6840",
            "fax_number": "314-525-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP VILLAGE OF SOUTH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "314-842-6840"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "030527",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101486504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Friends for Life LLC
• Friends of African Amer. Family Service Center
• Friends of Agape Inc.
• Friends of Angels LLC
• Friendship Village at Home, LLC
• Justin Eric Frierdich, CRNA
• Cathy Jo Fries, COTA
• Celeste Fries, FNP
• Abigail Friesen, ATC, CES
• Dale A Friesen, P.A.

• Skilled Nursing Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.

Verify at the official NPI Registry.