Bel Oak of Mt. Vernon, LLC
Organization Active NPI Skilled Nursing Facility · Mount Vernon, MO
NPI 1619682275 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1619682275
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BEL OAK OF MT. VERNON, LLC
- Practice address
- 1425 S Landrum St
Mount Vernon, MO 65712-1912 - Phone
- (636) 394-3000
- NPI assigned
- Jan 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Craig Weiner
- Title
- Manager
- Phone
- (636) 394-3000
Owners & managing parties with NPI records 1
-
Cheryl G Williams, D.O.
Facilities with the same owner 7
Practitioners 1
-
Cheryl G Williams, D.O.
Affiliated clinicians 1
-
Cheryl G Williams, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Mt Vernon Nursing
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 3, 1991
- Medicare certification status
- Active
- Certified beds
- 60 · 44.8 residents per day on average
- Chain
- Community Care Centers
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0715989 | Bel Oak of Mt Vernon LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265452
- Legal name
- BEL OAK OF MT VERNON LLC
- Doing business as
- MT VERNON NURSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 3, 1991
- Last certification
- Oct 10, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- GC ASSET MANAGEMENT
- Most recent change of ownership
- Jun 1, 2023
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1425 S Landrum St
Mount Vernon, MO 65712-1912 - Nursing home name
- MT VERNON NURSING
- Affiliated entity
- COMMUNITY CARE CENTERS
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Craig Weiner |
5% Or Greater Direct Ownership Interest |
Jun 1, 2023 | 50% |
| Adp of the SNF | Jan 28, 2025 | ||
| Gina Weiner |
5% Or Greater Direct Ownership Interest |
Jun 1, 2023 | 50% |
| Adp of the SNF | Jan 28, 2025 | ||
| Cheryl L Williams |
Operational/Managerial Control | Jan 28, 2025 | |
| Adp of the SNF | Apr 7, 2026 | ||
| GC Asset Management LLC |
Operational/Managerial Control | Jan 28, 2025 | |
| Indirect Ownership Interest | Jan 28, 2025 | 100% | |
| Kelly Hert |
Operational/Managerial Control |
Jan 28, 2025 | |
| Adp of the SNF | Jan 28, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231017001460 | MO | Part a Provider - Skilled Nursing Facility | 1254786890 | Practice locations: Mount Vernon, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1425 S Landrum St
Mount Vernon, MO 65712-1912
Mailing address
437 Sovereign CT
Ballwin, MO 63011-4432
Phone (636) 394-3000
Other providers in Mount Vernon, MO
- Meghan Austin
- Autumn Court Healthcare Center LLC
- Brandon Keith Barker
- Paul N Beard
- Bel Oak of Hudson House LLC
- Paul Bisso
- Brandon O'Connell DC LLC
- Daniel Brockgreitens
- Joekie Brouwer
- Deborah Bussey
All providers in Mount Vernon, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. 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.