NPIMap

Organization Active NPI

Manchester Operator LLC

Doing business as Manchester Rehab and Healthcare Center

  • Skilled Nursing Facility
  • Ballwin, MO
National Provider Identifier
1730871765
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MANCHESTER OPERATOR LLC
Doing business as
Manchester Rehab and Healthcare Center
Practice address
312 Solley Dr
Ballwin, MO 63021-5248
Phone
(636) 391-0666
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Jacques Wolf
Title
Manager
Phone
(908) 430-5101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

312 Solley Dr
Ballwin, MO 63021-5248

Mailing address

311 Boulevard of the Americas
Suite 201
Lakewood, NJ 08701

Other names 1

  • Manchester Rehab and Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230527000323 MO Part A Provider - Skilled Nursing Facility 1153788690 Practice locations: Ballwin, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730871765. Details of each certification follow.

Skilled nursing facility certification: CCN 265352

Legal name
MANCHESTER OPERATOR LLC
Doing business as
MANCHESTER REHAB AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 18, 1989
Last certification
Dec 5, 2023
Beds
137
Ownership / control type
Corporation
Multi-facility organization
LUXOR HEALTHCARE
Organization structure
LLCProprietary
Incorporated
May 16, 2023 in MO
Enrollment address
312 Solley Dr
Ballwin, MO 63021-5248
Nursing home name
MANCHESTER REHAB AND HEALTHCARE CENTER
Affiliated entity
AMA HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Manchester Rehab and Healthcare CenterCCN 265352 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 18, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13786.9 residents per day on average
Chain
Ama Holdings13 facilities in the chain
Penalties (3 years)
2Fines totaling $197,132

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Asher Marx Individual 5% Or Greater Indirect Ownership Interest May 24, 2023 40%
Corporate DirectorManaging Member May 24, 2023 40%
Operational/Managerial ControlManaging Member May 24, 2023 40%
Def Holdings LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest May 24, 2023 42.5%
Manchester Partners LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest May 24, 2023 100%
David Andrew Individual 5% Or Greater Indirect Ownership Interest May 24, 2023 14.25%
W-2 Managing EmployeeRegional Director of Operations May 24, 2023 14.25%
Mo Operation Equities LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest May 24, 2023 85%
Andrew Capital LLC Organization, Chesterfield, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest May 24, 2023 15%
Rachel Carosone Individual W-2 Managing EmployeeAdministrator Aug 14, 2023
Jacques Wolf Individual 5% Or Greater Indirect Ownership Interest May 24, 2023 40%
Corporate DirectorManaging Member May 24, 2023 40%
Operational/Managerial ControlManaging Member May 24, 2023 40%
Ama Holdings LLC Organization, Toms River, NJ LLC 5% Or Greater Indirect Ownership Interest May 24, 2023 42.5%
Manchester Holdco LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest May 24, 2023 100%

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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.

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1730871765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BOULEVARD OF THE AMERICAS",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SOLLEY DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215248",
            "telephone_number": "636-391-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-430-5101"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manchester Rehab and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.