NPIMap

Organization Active NPI

Bel Oak of Mt. Vernon, LLC

  • Skilled Nursing Facility
  • Mount Vernon, MO
National Provider Identifier
1619682275
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Mr. Craig Weiner
Title
Manager
Phone
(636) 394-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231017001460 MO Part A Provider - Skilled Nursing Facility 1254786890 Practice locations: Mount Vernon, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619682275. Details of each certification follow.

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
LLCProprietary
Enrollment address
1425 S Landrum St
Mount Vernon, MO 65712-1912
Nursing home name
MT VERNON NURSING
Affiliated entity
COMMUNITY CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mt Vernon NursingCCN 265452 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
6044.8 residents per day on average
Chain
Community Care Centers8 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
26D0715989Bel Oak of Mt Vernon LLC1425 S Landrum St, Mount Vernon, MO 65712Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Craig Weiner Individual 5% Or Greater Direct Ownership InterestManager Jun 1, 2023 50%
Adp of the SNF Jan 28, 2025
Gina Weiner Individual 5% Or Greater Direct Ownership InterestManager Jun 1, 2023 50%
Adp of the SNF Jan 28, 2025
Cheryl L Williams Individual Operational/Managerial Control Jan 28, 2025
Adp of the SNF Apr 7, 2026
GC Asset Management LLC Organization, Ballwin, MO LLC, Management services company, For-profit Operational/Managerial Control Jan 28, 2025
Indirect Ownership Interest Jan 28, 2025 100%
Kelly Hert Individual Operational/Managerial ControlAdministrator Jan 28, 2025
Adp of the SNF Jan 28, 2025

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 7

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1619682275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 SOVEREIGN CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114432",
            "telephone_number": "636-394-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S LANDRUM ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121912",
            "telephone_number": "636-394-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL OAK OF MT. VERNON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-394-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, MO

Sources for this page

Verify at the official NPI Registry.