Active NPI
The Woodlands of Maryland Heights LLC
- Skilled Nursing Facility
- Maryland Heights, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2014
- Organization subpart
- Yes
- Parent organization
- RILEY SPENCE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101475903 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 14, 1993
- Medicare certification status
- Active
- Certified beds
- 130
- Chain
- Riley Spence Senior Living
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 |
|---|---|---|---|
| 26D0437572 | Parkwood Skilled Nursing | Certificate of waiver | Jul 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Charles J Riley | 5% Or Greater Direct Ownership Interest | 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 | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Riley Spence Management Company, LLC | Operational/Managerial Control | Dec 19, 2024 | |
| Adp of the SNF | Jan 13, 2025 | ||
| Paul Cauwenbergh | Operational/Managerial Control | Aug 17, 2018 | |
| Adp of the SNF | Aug 17, 2018 | ||
| Charles J Riley | 5% Or Greater Direct Ownership Interest | Aug 1, 2013 | 24.5% |
| Gregory S Spence | 5% Or Greater Direct Ownership Interest | 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.
-
- Rheumatology Physician
- Ballwin, MO
- NPI 1174597454
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.
-
- Skilled Nursing Facility
- Eureka, MO
- NPI 1457412587
Riley Spence Management Company, LLC
-
- Skilled Nursing Facility
- Rolla, MO
- NPI 1881249464
Riley Spence Management Company, LLC
-
- Skilled Nursing Facility
- Rolla, MO
- NPI 1003224825
Riley Spence Management Company, LLC
-
- Skilled Nursing Facility
- Arnold, MO
- NPI 1245391507
Riley Spence Management Company, LLC
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1689604100
-
- Internal Medicine Physician
- Town and Country, MO
- NPI 1093813099
-
- Rheumatology Physician
- Ballwin, MO
- NPI 1174597454
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1134295629
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
- Ashley Marie Terbrock, FNP
- Sheri Nicole Terry, OTR/L
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- The Smile Company, Sleep Solutions, LLC
- Therapy Services
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- Maddison Thrasher
- Kathleen Anne Tobin, OT
- Transportation Solution Services LLC (Axel)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.