SSM Health Businesses
Organization Active NPI Home Health Agency · Saint Louis, MO
NPI 1609840552 · NPPES record last updated Jun 2, 2023
Key facts
- NPI
- 1609840552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 700-10HH (MO)
- Legal business name
- SSM HEALTH BUSINESSES
- Practice address
- 1187 Corporate Lake Dr
Suite 200
Saint Louis, MO 63132-1718 - Phone
- (314) 989-2660
- Fax
- (314) 989-2906
- NPI assigned
- Feb 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Lisa Schweitzer, RN
- Title
- Vice President Patient Care Service
- Phone
- (608) 778-2146
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 9
Affiliated clinicians 102
-
Ramona Aitken, MD
-
Kristina Marie Anderson, M.D.
-
Samantha L Branson, FNP
-
Shawn K Brunk, DO
-
Katherine A Burns, M.D.
-
Navin Choudhary, MD
-
Kyle Christensen, D.O.
-
Travis Cobb, DO
-
Karsen Corn, MD
-
Steven D Drake, MD
-
David Everett Easterday, D.O.
-
Amanda Garth, NP-C
-
Sukepma Giri, M.D
-
Timothy G Graven, D.O.
-
Brian A Grus, MD
-
Thomas P Gutmann, M.D.
Medicare Care Compare: Home health agency
- Listed as
- SSM Health at Home Home Health-St. Louis
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Non-Profit
- Certified
- Mar 5, 1984
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0972916 | SSM Health at Home Home Health-St Louis | Certificate of waiver | Apr 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Home health agency certification: CCN 267184B
- Legal name
- SSM HEALTH BUSINESSES
- Doing business as
- SSM HEALTH AT HOME HOME HEALTH- ST. LOUIS
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 23, 1984 in MO
- Enrollment address
- 12800 Corporate Hill Dr
Saint Louis, MO 63131-1845
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Lisa Schweitzer |
Corporate Director |
Sep 2, 2022 | |
| Operational/Managerial Control | Sep 2, 2022 | ||
| Kari Krueger |
Corporate Director |
Sep 2, 2022 | |
| Operational/Managerial Control | Sep 2, 2022 | ||
| Laura Kaiser |
Corporate Director |
May 1, 2017 | 25% |
| Operational/Managerial Control | May 1, 2017 | ||
| Steven Smoot |
Corporate Officer |
Jan 1, 2019 | 25% |
| Corporate Director | Jan 1, 2019 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| SSM Health at Home Home Health-Wisconsin |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 29, 2024 |
| SSM Health at Home Home Health- Oklahoma |
Home health agency | Operational/Managerial Control | Apr 1, 2000 |
| SSM Health at Home Hospice Illinois |
Hospice | Operational/Managerial Control | Jan 1, 2008 |
| SSM Health at Home Hospice-Oklahoma |
Hospice | 5% Or Greater Direct Ownership Interest | May 23, 1984 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100415000104 | MO | Part a Provider - Home Health Agency | 8022107051 | Practice locations: Saint Louis, MO; Wentzville, MO |
National Provider Directory
- Tax ID family
- SSM Health Businesses
Locations
1187 Corporate Lake Dr
Ste 200
Saint Louis, MO 63132
Phone (314) 989-2660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 700-10HH | MO | Yes |
Addresses
Primary practice location
1187 Corporate Lake Dr
Suite 200
Saint Louis, MO 63132-1718
Mailing address
1187 Corporate Lake Dr
Saint Louis, MO 63132-1700
Phone (314) 989-2500
Other practice location 1
600 Medical Dr Ste 209
Wentzville, MO 63385-3426
Phone (636) 695-2003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580417202 | Medicaid | MO |
Other names
- SSM Health at Home Home Health St Louis
- SSM Health at Home Home Health West
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Saint Louis, MO
- SSM Cardinal Glennon Childrens Hospital
- SSM Cardinal Glennon Childrens Hospital
- SSM Cardiovascular and Thoracic Services, Inc.
- SSM Cardiovascular and Thoracic Services, Inc.
- SSM Diversified Corporation
- SSM Health Cardinal Glennon Transport
- SSM Health Care Group
- SSM Health Care Group
- SSM Health Care Group
- SSM Health Care Group
All providers in Saint Louis, MO · Home Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.