Ashby Road Inc.
Organization Active NPI Skilled Nursing Facility · Saint Louis, MO
NPI 1720130701 · NPPES record last updated Apr 22, 2008
Key facts
- NPI
- 1720130701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 033566 (MO)
- Legal business name
- ASHBY ROAD INC.
- Practice address
- 3060 Ashby Rd
Saint Louis, MO 63114-1342 - Phone
- (314) 426-0433
- Fax
- (314) 426-3580
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Gayla D Bentley
- Title
- Administrator
- Phone
- (314) 426-0433
Owners & managing parties with NPI records 1
-
Shawn Michael Gao, M.D.
Practitioners 2
-
Renuka Sodhi, MD
-
Lawrence Wells, MD
Affiliated clinicians 2
-
Renuka Sodhi, MD
-
Lawrence Wells, MD
Medicare Care Compare: Nursing home
- Listed as
- Bentleys Extended Care
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 2002
- Medicare certification status
- Active
- Certified beds
- 72 · 52.3 residents per day on average
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $28,969
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0965447 | Bentleys Extended Care | Certificate of waiver | Sep 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
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 · Proprietary
- Enrollment address
- 3060 Ashby Rd
Saint Louis, MO 63114-1342 - Nursing home name
- BENTLEYS EXTENDED CARE
All disclosed owners & managing parties 3
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040623000508 | MO | Part a Provider - Skilled Nursing Facility | 4789669763 | Practice locations: Saint Louis, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 033566 | MO | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104692504 | Medicaid | MO |
Other names
- Bentleys Extended Care
Other providers in Saint Louis, MO
- Allen Ash
- Brian Keith Ash
- Lauren Ash
- Mary Ellen Ash
- Frank Ashall
- Inez Moore Ashby
- Brittany Ashcraft
- Julie Rae Ashcroft
- Danielle Marie Ashenbrener
- Asher Psychiatry and Psychotherapy, LLC
All providers in Saint Louis, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.