Active NPI
Blue Circle Rehab and Nursing LLC
- Skilled Nursing Facility
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Selected
- 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 Nursing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 18, 2007
- Medicare certification status
- Active
- Certified beds
- 90
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0937915 | Blue Circle Rehab and Nursing | Certificate of waiver | Dec 23, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mendel Brecher | 5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 60% |
| Corporate Officer | Apr 1, 2019 | ||
| Chana Lichtman | 5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 18% |
| Pinches Zweig | 5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 5% |
| Jacob Zimmerman | 5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 17% |
| Robin Allen | W-2 Managing Employee | Apr 1, 2019 | |
| Blue Circle Holding LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2019 | 100% |
| Servisfirst Bank | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- St. Louis, MO
- NPI 1417040114
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- St. Louis, MO
- NPI 1417040114
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.