St. Joseph Manor Health & Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ST. JOSEPH MANOR HEALTH & REHABILITATION LLC

Practice address

1317 N 36TH St
Saint Joseph, MO 64506-2359

Phone

(816) 676-1630

Fax

(816) 232-5862

NPI assigned

Jul 5, 2023

Last updated

Jul 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaim Mandelbaum

Title

Manager

Phone

(816) 676-1630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689352213. Details of each certification follow.

• CCN 265762 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265762

Legal name

ST. JOSEPH MANOR HEALTH & REHABILITATION LLC

Doing business as

ST. JOSEPH MANOR HEALTH & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 22, 2003

Last certification

Mar 21, 2025

Beds

110

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Jul 1, 2023

Organization structure

LLCProprietary

Enrollment address

1317 North 36TH St
Saint Joseph, MO 64506-2359

Nursing home name

ST JOSEPH MANOR HEALTH & REHABILITATION

Affiliated entity

MO OP HOLDCO, LLC

Listed as

St Joseph Manor Health & RehabilitationCCN 265762 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 22, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11063.8 residents per day on average

Chain

Mo Op Holdco, LLC9 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $10,414

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 35

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Tawanda Charumuka, MD

  • Family Medicine Physician
  • Saint Joseph, MO
  • NPI 1326501867

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Holden Manor Health & Rehabilitation LLC

  • Skilled Nursing Facility
  • Holden, MO
  • NPI 1619655248

  Mo Op Holdco, LLC

  CMS ownership
• Laverna Manor Health & Rehabilitation LLC

  • Skilled Nursing Facility
  • Savannah, MO
  • NPI 1417635046

  Mo Op Holdco, LLC

  CMS ownership
• Parkdale Manor Health & Rehabilitation LLC

  • Skilled Nursing Facility
  • Maryville, MO
  • NPI 1962180596

  Mo Op Holdco, LLC

  CMS ownership

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.

• Scott F. Avery, D.O.

  • Family Medicine Physician
  • Junction City, KS
  • NPI 1427230069
  NPD (past)

Affiliated clinicians 1

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

• Scott F. Avery, D.O.

  • Family Medicine Physician
  • Junction City, KS
  • NPI 1427230069

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1689352213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062359",
            "telephone_number": "816-676-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062359",
            "telephone_number": "816-676-1630",
            "fax_number": "816-232-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH MANOR HEALTH & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-676-1630"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Joe Health Care and Wellness, LLC
• St. Joseph Chiropractic LLC
• St. Joseph Family Dental, LLC
• St. Joseph Family Dental, LLC
• St. Joseph Family Medical Clinic, Inc.
• St. Joseph Nephrology Associates, P.a.
• St. Joseph School District
• St. Joseph Senior Living LLC
• St. Joseph Urology, LLC
• St. Joseph Urology,LLC

• Skilled Nursing Facility in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.