NPIMap

Organization Active NPI

South County Health Care Center, LLC

  • Skilled Nursing Facility
  • Arnold, MO
National Provider Identifier
1508668708
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUTH COUNTY HEALTH CARE CENTER, LLC
Practice address
1101 W Outer 21 Rd
Arnold, MO 63010-4644
Phone
(636) 296-5141
NPI assigned
Mar 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Richard J. Destefane
Title
President
Phone
(314) 543-3816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1101 W Outer 21 Rd
Arnold, MO 63010-4644

Mailing address

1869 Craig Park CT
Saint Louis, MO 63146-4122
Phone (314) 543-3816

Other names 2

  • South County Health Care Center Doing business as
  • South County Health Care Center, L.L.C. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624003450 MO Part A Provider - Skilled Nursing Facility 6103338280 Practice locations: Arnold, MO

Skilled nursing facility certification: CCN 265509

Legal name
SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
Doing business as
SOUTH COUNTY HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 12, 1992
Last certification
Aug 22, 2024
Beds
153
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Reliant Care Management Co.
Organization structure
LLCProprietary
Enrollment address
1101 W Outer 21 Rd
Arnold, MO 63010-4644
Nursing home name
SOUTH COUNTY HEALTH CARE CENTER
Affiliated entity
RELIANT CARE MANAGEMENT

All disclosed owners & managing parties 9

Medicare enrollment files

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

NameRoleSinceShare
RCG Inc Organization, Saint Louis, MO Corporation, Holding company, Owned by another organization or individual Indirect Ownership Interest Apr 1, 2025 0.01%
Richard J. Destefane Revocable Living Trust Organization, Saint Louis, MO Adp of the SNF Apr 1, 2025
Indirect Ownership Interest Apr 1, 2025 100%
Richard J Destefane Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Indirect Ownership Interest Apr 1, 2025 100%
Katina Magnussen Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Reliant Care Group LLC Organization, Saint Louis, MO LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Apr 1, 2025 100%
TLG II LLP Organization, Saint Louis, MO Holding company Adp of the SNF Apr 1, 2025
Reliant Care Management Company LLC Organization, Saint Louis, MO LLC, Management services company, Chain home office Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 21, 2025
Abdullah Arshad Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
South County Associates I, L.L.C. Organization, Saint Louis, MO LLC Adp of the SNF Apr 1, 2025

National Provider Directory

National Provider Directory

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 32

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

View all 32

Practitioners 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
South County Health Care CenterCCN 265509
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
Oct 12, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15385.5 residents per day on average
Chain
Reliant Care Management34 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $93,995

Processed by Care Compare on Aug 1, 2026.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1508668708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CRAIG PARK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464122",
            "telephone_number": "314-543-3816",
            "fax_number": "314-226-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W OUTER 21 RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630104644",
            "telephone_number": "636-296-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-3816"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South County Health Care Center, L.L.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "South County Health Care Center, L.L.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.