NPIMap

Organization Active NPI

Bel Oak of Gainesville, LLC

  • Skilled Nursing Facility
  • Gainesville, MO
National Provider Identifier
1639884281
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 GAINESVILLE, LLC
Practice address
77 Medical Dr
Gainesville, MO 65655-8133
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 Michael Weiner
Title
Manager
Phone
(636) 394-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

77 Medical Dr
Gainesville, MO 65655-8133

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
O20231004001642 MO Part A Provider - Skilled Nursing Facility 2668826058 Practice locations: Gainesville, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639884281. Details of each certification follow.

Skilled nursing facility certification: CCN 265312

Legal name
BEL OAK OF GAINESVILLE LLC
Doing business as
GAINESVILLE NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1987
Last certification
Sep 12, 2024
Beds
99
Ownership / control type
Corporation
Multi-facility organization
BEL OAK COMMUNITY CARE CENTERS
Most recent change of ownership
Jun 1, 2023
Organization structure
LLCProprietary
Enrollment address
77 Medical Dr
Gainesville, MO 65655-8133
Nursing home name
GAINESVILLE NURSING
Affiliated entity
COMMUNITY CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gainesville NursingCCN 265312 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9946.9 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
26D2288640Bel Oak of Gainesville, LLC77 Medical Drive, Gainesville, MO 65655Certificate of waiverAug 28, 2027

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
Sherri Beasley Individual Operational/Managerial ControlAdministrator Mar 24, 2026
Adp of the SNF Mar 24, 2026
Edward R Henegar Individual Operational/Managerial Control Mar 24, 2026
Adp of the SNF Dec 11, 2024
Craig Weiner Individual 5% Or Greater Direct Ownership InterestManager Jun 1, 2023 50%
Adp of the SNF Jan 6, 2025
Gina Weiner Individual 5% Or Greater Direct Ownership InterestManager Jun 1, 2023 50%
Adp of the SNF Jan 6, 2025
GC Asset Management LLC Organization, Ballwin, MO LLC Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jan 6, 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 2

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 2

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": "1639884281",
    "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": "77 MEDICAL DR",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "656558133",
            "telephone_number": "636-394-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL OAK OF GAINESVILLE, 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_middle_name": "MICHAEL",
        "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 Gainesville, MO

Sources for this page

Verify at the official NPI Registry.