Active NPI
Ashby Road Inc.
Doing business as Bentleys Extended Care
- Skilled Nursing Facility
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 033566
- Legal business name
- ASHBY ROAD INC.
- Doing business as
- Bentleys Extended Care
- Practice address
- 3060 Ashby Rd
Saint Louis, MO 63114-1342 - Phone
- (314) 426-0433
- Fax
- (314) 426-3580
- NPI assigned
- Jan 18, 2007
- Last updated
- Apr 22, 2008
- 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
- Gayla D Bentley
- Title
- Administrator
- Phone
- (314) 426-0433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 033566 | MO | Primary |
Addresses
Primary practice location
3060 Ashby Rd
Saint Louis, MO 63114-1342
Mailing address
3060 Ashby Rd
Saint Louis, MO 63114-1342
Phone (314) 426-0433
Other names 1
- Bentleys Extended Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040623000508 | MO | Part A Provider - Skilled Nursing Facility | 4789669763 | Practice locations: Saint Louis, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1720130701. Details of each certification follow.
Skilled nursing facility certification: CCN 265732
- Legal name
- ASHBY ROAD INC
- Doing business as
- BENTLEYS EXTENDED CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 2002
- Last certification
- Oct 24, 2024
- Beds
- 72
- Ownership / control type
- Corporation
- Most recent change of ownership
- Jul 20, 2003
- Organization structure
- Corporation
- Enrollment address
- 3060 Ashby Rd
Saint Louis, MO 63114-1342 - Nursing home name
- BENTLEYS EXTENDED CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bentleys Extended Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 2002
- Medicare certification status
- Active
- Certified beds
- 72
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 26D0965447 | Bentleys Extended Care | Certificate of waiver | Sep 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
3060 Ashby Rd
Saint Louis, MO 63114
Phone (314) 426-0433
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Gayla Denise Bentley | Corporate Officer | Jul 18, 2003 | |
| Adp of the SNF | Sep 2, 1999 | ||
| David Joe Bentley | 5% Or Greater Direct Ownership Interest | Jul 18, 2003 | 100% |
| Corporate Officer | Sep 2, 1999 | 100% | |
| Corporate Director | Jun 23, 2004 | 100% | |
| Shawn Michael Gao | Operational/Managerial Control | Jan 1, 2017 | |
| Adp of the SNF | Jan 1, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1740424704
Adp of the SNF, Operational/Managerial 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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1366485138
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1669430112
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": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1720130701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 ASHBY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631141342",
"telephone_number": "314-426-0433",
"fax_number": "314-426-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 ASHBY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631141342",
"telephone_number": "314-426-0433",
"fax_number": "314-426-3580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHBY ROAD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "GAYLA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "314-426-0433"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "033566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bentleys Extended Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 22, 2008; 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.