Lutheran Senior Services
Organization Active NPI Skilled Nursing Facility · Weldon Spring, MO
NPI 1720172869 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1720172869
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 032551 (MO)
- Legal business name
- LUTHERAN SENIOR SERVICES
- Practice address
- 600 Breeze Park Dr
Weldon Spring, MO 63304-9142 - Phone
- (636) 939-5223
- Fax
- (636) 939-5865
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Chadwick Sneed
- Title
- Chief Financial Officer
- Phone
- (314) 446-2405
Owners & managing parties with NPI records 10
-
Walter Lin, MD, MBA
Owned or controlled facilities with NPI records 7
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 18
Member organizations 5
Facilities with the same owner 7
Practitioners 3
-
Patricia Hee Huebner, AGPCNP-BC
-
Ehab M. Kaiser, M.D.
-
Karen Schroeder, FNP-BC
Affiliated clinicians 2
-
Rex E Hudson, MD
-
Andrea Diane Itzkowitz, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Lutheran Senior Services at Breeze Park
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Jan 2, 2004
- Medicare certification status
- Active
- Certified beds
- 50 · 46.0 residents per day on average
- Chain
- Evertrue
- Penalties (3 years)
- 1 · fines totaling $41,347
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265767
- Legal name
- LUTHERAN SENIOR SERVICES
- Doing business as
- LUTHERAN SENIOR SERVICES AT BREEZE PARK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 2, 2004
- Last certification
- Mar 7, 2024
- Beds
- 81 (50 certified)
- Ownership / control type
- Church Related
- Multi-facility organization
- LUTHERAN SENIOR SERVICES
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 600 Breeze Park Dr
Weldon Spring, MO 63304-9139 - Nursing home name
- LUTHERAN SENIOR SERVICES AT BREEZE PARK
- Affiliated entity
- EVERTRUE
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Lisa Sombart |
Corporate Director |
Apr 25, 2017 | |
| David a Anderson |
Corporate Officer |
Jul 1, 2019 | |
| Ronald D Schaefer |
Corporate Officer |
Feb 6, 2023 | |
| Adam Marles |
Corporate Officer |
Nov 1, 2021 | |
| Christopher Sommer |
Corporate Director |
Jul 1, 2023 | |
| Lutheran Senior Services |
5% Or Greater Direct Ownership Interest | Feb 2, 2000 | 100% |
| Operational/Managerial Control | Feb 2, 2000 | ||
| Norman a Toon |
Corporate Director |
May 1, 2019 | |
| Brent Beumer |
Corporate Director |
Jun 27, 2022 | |
| Chadwick Sneed |
Corporate Officer |
Jul 1, 2020 | |
| Megan Meadows |
Corporate Director |
Jan 24, 2022 | |
| Daniel S Brown |
Corporate Officer |
Apr 25, 2018 | |
| Roy Christell |
Corporate Director |
Apr 25, 2017 | |
| Paul Tice |
Corporate Officer |
Apr 25, 2017 | |
| Harry Mueller |
Corporate Director |
Apr 26, 2016 | |
| Valerie Cooper |
Operational/Managerial Control | Feb 2, 2000 | |
| Adp of the SNF | Jan 7, 2026 | ||
| Walter Lin |
Operational/Managerial Control | Feb 2, 2000 | |
| Adp of the SNF | Oct 30, 2025 |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Lenoir Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 15, 2010 Mar 15, 2010 |
| Lutheran Senior Services at Meramec Bluffs |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2002 |
| Lutheran Convalescent Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 2, 1995 |
| Concordia Village Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Security Interest (100%) Operational/Managerial Control |
Dec 12, 2011 Dec 12, 2011 Dec 12, 2011 |
| Mason Pointe Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2016 |
| Lutheran Senior Services Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 6, 2012 |
| LSS Hospice Care |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040913001082 | MO | Part a Provider - Skilled Nursing Facility | 3577530203 | Practice locations: Weldon Spring, MO |
National Provider Directory
- Tax ID family
- Lutheran Senior Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 032551 | MO | Yes |
Addresses
Primary practice location
600 Breeze Park Dr
Weldon Spring, MO 63304-9142
Mailing address
1150 Hanley Industrial CT
Saint Louis, MO 63144-1910
Phone (314) 968-9313
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104855002 | Medicaid | MO |
Other names
- Lutheran Senior Services at Breeze Park
Other providers in Weldon Spring, MO
- Sarah Elizabeth Lednick
- Chelsea Lentine
- Little Hills Healthcare LLC
- Little Hills Healthcare, LLC
- Lutheran Senior Services
- Mary Saggau MSW LCSW LLC
- Douglas Mayo
- Wendy Lyn McCoy
- Susan M McGuire Breth
- Mary Elizabeth Mehelic
All providers in Weldon Spring, 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 Sep 20, 2023. 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.