Organization Active NPI

The Woodlands of Maryland Heights LLC

  • Skilled Nursing Facility
  • Maryland Heights, MO
National Provider Identifier
1487715793
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE WOODLANDS OF MARYLAND HEIGHTS LLC
Practice address
3201 Parkwood LN
Maryland Heights, MO 63043-1334
Phone
(314) 291-5911
Fax
(314) 291-3576
NPI assigned
Dec 12, 2006
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
RILEY SPENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Mr. Charles J Riley
Title
Memeber
Phone
(636) 349-2311

Specialties & licenses 1

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

Addresses

Primary practice location

3201 Parkwood LN
Maryland Heights, MO 63043-1334

Mailing address

1749 Gilsinn LN
Fenton, MO 63026-2003
Phone (636) 349-2311

Other identifiers 1

IdentifierTypeStateIssuer
101475903MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070328000696 MO Part A Provider - Skilled Nursing Facility 4082718234 Practice locations: Maryland Heights, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487715793. Details of each certification follow.

Skilled nursing facility certification: CCN 265523

Legal name
THE WOODLANDS OF MARYLAND HEIGHTS LLC
Doing business as
PARKWOOD SKILLED NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 14, 1993
Last certification
Aug 29, 2024
Beds
130
Ownership / control type
Corporation
Multi-facility organization
RILEY SPENCE
Most recent change of ownership
Jan 1, 2007
Organization structure
LLCProprietary
Enrollment address
3201 Parkwood LN
Maryland Heights, MO 63043-1334
Nursing home name
PARKWOOD SKILLED NURSING AND REHABILITATION CENTER
Affiliated entity
RILEY SPENCE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkwood Skilled Nursing and Rehabilitation CenterCCN 265523 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 14, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13084.5 residents per day on average
Chain
Riley Spence Senior Living5 facilities in the chain

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
26D0437572Parkwood Skilled Nursing3201 Parkwood Lane, Maryland Heights, MO 63043Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory
Part of
Riley Spence Properties No 2 LLC

Locations

1749 Gilsinn Ln
Fenton, MO 63026
Phone (636) 343-3839

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Charles J Riley Individual 5% Or Greater Direct Ownership InterestMember/Owner Jan 1, 2007 24.5%
Corporate Director Jan 1, 2007
Adp of the SNF Jan 13, 2025
Direct Ownership Interest Jan 1, 2007 45%
David S Rosenberg Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Riley Spence Management Company, LLC Organization, Fenton, MO LLC Operational/Managerial Control Dec 19, 2024
Adp of the SNF Jan 13, 2025
Paul Cauwenbergh Individual Operational/Managerial Control Aug 17, 2018
Adp of the SNF Aug 17, 2018
Charles J Riley Individual 5% Or Greater Direct Ownership InterestOwner/Member Aug 1, 2013 24.5%
Gregory S Spence Individual 5% Or Greater Direct Ownership InterestMember/Owner Jan 1, 2007 51%
Adp of the SNF Jan 13, 2025
Direct Ownership Interest Jan 1, 2007 55%

Owners & managing parties with NPI records 1

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 4

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1487715793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 GILSINN LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262003",
            "telephone_number": "636-349-2311",
            "fax_number": "636-349-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PARKWOOD LN",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431334",
            "telephone_number": "314-291-5911",
            "fax_number": "314-291-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLANDS OF MARYLAND HEIGHTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RILEY SPENCE",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMEBER",
        "authorized_official_telephone_number": "636-349-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101475903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.