Organization Active NPI

Blue Circle Rehab and Nursing LLC

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1710540810
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BLUE CIRCLE REHAB AND NURSING LLC
Practice address
2939 Magazine St
Saint Louis, MO 63106-1245
Phone
(314) 531-0500
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Mendel Brecher
Title
Manager
Phone
(314) 531-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2939 Magazine St
Saint Louis, MO 63106-1245

Mailing address

544 Park Ave Ste B04
Brooklyn, NY 11205-1670
Phone (917) 682-3129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190524001129 MO Part A Provider - Skilled Nursing Facility 2769725241 Practice locations: Saint Louis, MO

Skilled nursing facility certification: CCN 265817

Legal name
BLUE CIRCLE REHAB AND NURSING LLC
Doing business as
BLUE CIRCLE REHAB AND NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 18, 2007
Last certification
Dec 11, 2024
Beds
90
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Apr 1, 2019
Organization structure
Not SelectedProprietary
Enrollment address
2939 Magazine St
Saint Louis, MO 63106-1245
Nursing home name
BLUE CIRCLE REHAB AND NURSING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Blue Circle Rehab and NursingCCN 265817 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 18, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9064.3 residents per day on average
Penalties (3 years)
1Fines totaling $13,042

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
26D0937915Blue Circle Rehab and Nursing2939 Magazine, Saint Louis, MO 63106Certificate of waiverDec 23, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Mendel Brecher Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2019 60%
Corporate OfficerManager Apr 1, 2019
Chana Lichtman Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2018 18%
Pinches Zweig Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2019 5%
Jacob Zimmerman Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2019 17%
Robin Allen Individual W-2 Managing EmployeeAdministrator Apr 1, 2019
Blue Circle Holding LLC Organization, Brooklyn, NY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2019 100%
Servisfirst Bank Organization, Birmingham, AL Financial institution 5% Or Greater Security Interest Apr 1, 2019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1710540810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 PARK AVE STE B04",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051670",
            "telephone_number": "917-682-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 MAGAZINE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061245",
            "telephone_number": "314-531-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CIRCLE REHAB AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "BRECHER",
        "authorized_official_first_name": "MENDEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-531-0500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.