NPIMap

Organization Active NPI

Bethesda Long Term Care, Inc.

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1750357950
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
032167 Issued in MO
Legal business name
BETHESDA LONG TERM CARE, INC.
Practice address
5943 Telegraph Rd
Saint Louis, MO 63129-4715
Phone
(314) 846-2000
Fax
(314) 846-4661
NPI assigned
Feb 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Mr. Joseph J Brinker
Title
Chief Executive Officer
Phone
(314) 800-1986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 032167 MO Primary

Addresses

Primary practice location

5943 Telegraph Rd
Saint Louis, MO 63129-4715

Mailing address

12101 Woodcrest Executive Dr Ste 200
Saint Louis, MO 63141-5047
Phone (314) 800-1900

Other identifiers 1

IdentifierTypeStateIssuer
101496206MedicaidMO

Other names 1

  • Bethesda Southgate Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030314000018 MO Part A Provider - Skilled Nursing Facility 9436068772 Practice locations: Saint Louis, MO

Skilled nursing facility certification: CCN 265756

Legal name
BETHESDA LONG TERM CARE INC
Doing business as
BETHESDA SOUTHGATE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 3, 2003
Last certification
Jul 18, 2024
Beds
192 (130 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
BETHESDA HEALTH GROUP
Organization structure
CorporationNon-profit
Enrollment address
5943 Telegraph Rd
Saint Louis, MO 63129-4715
Nursing home name
BETHESDA SOUTHGATE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bethesda SouthgateCCN 265756
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 3, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13081.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0873246Bethesda Southgate5943 Telegraph Road, Saint Louis, MO 63129Certificate of waiverJul 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Gen Hosp Homes5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

9645 Big Bend Blvd
Saint Louis, MO 63122
Phone (314) 266-1035

4431 S Broadway
Saint Louis, MO 63111
Phone (314) 481-4840

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Midwest Staffing Solutions LLC Organization, Sappington, MO LLC, Medical staffing company, For-profit Adp of the SNF Sep 1, 2018
James Esther Individual Corporate DirectorDirector Jan 1, 2018
Elite Medical Staffing Group LLC Organization, Saint Louis, MO LLC, Medical staffing company, For-profit Adp of the SNF Dec 12, 2017
Individual Adp of the SNF Apr 1, 2025
Joseph J. Brinker Individual Corporate OfficerChief Executive Officer Jul 1, 2010
Corporate Director Jul 1, 2010
Operational/Managerial Control Jul 1, 2010
Adp of the SNF Feb 7, 2010
Joseph Keller Individual Corporate DirectorDirector Jan 1, 2019
Patrick J. Rooney Individual Corporate Officer Jan 1, 2026
Gary Mayes Individual Corporate DirectorCorporate Director Jan 1, 2023
Organization, Charlotte, NC Corporation, Financial institution, For-profit Adp of the SNF Jul 10, 2025
Organization, San Diego, CA Corporation, Medical staffing company, For-profit Adp of the SNF Jul 31, 2025
John Dale Meier Individual Corporate Officer Jan 1, 2019
Roger Byrne Individual Corporate OfficerChief Financial Officer Feb 10, 2014
Operational/Managerial Control Feb 10, 2014
Adp of the SNF Feb 10, 2014
John W. Rowe Individual Corporate Director Jan 1, 2025
Felice Rolnick Individual Operational/Managerial Control Feb 16, 2024
Adp of the SNF Feb 16, 2024
Organization, San Diego, CA Corporation Adp of the SNF Aug 15, 2025
Kiel Peregrin Individual Corporate OfficerChief Operating Officer Feb 23, 2020
Operational/Managerial Control Feb 23, 2020
Adp of the SNF Feb 23, 2020
Individual Adp of the SNF Apr 1, 2022
Bethesda Health Group Inc Organization, Saint Louis, MO Corporation, Non-profit, Chain home office Operational/Managerial Control Jul 8, 1999
Adp of the SNF Sep 2, 2025
Christopher Reynolds Individual Operational/Managerial Control Jan 31, 2025
Adp of the SNF Jan 31, 2025
Darlene Cosby Individual Operational/Managerial Control Aug 8, 2021
Adp of the SNF Aug 8, 2021
Kevin Klingler Individual Corporate Officer Jan 1, 2024
Philip Hutchison Individual Corporate Officer Jan 1, 2020
Veronica F McDonnell Individual Corporate Director Apr 25, 2025
Jennifer Popp Individual Operational/Managerial Control Jan 31, 2025
Adp of the SNF Jan 31, 2025
Fred G. Falker Individual Corporate DirectorCorporate Director Jan 1, 2022
Select Rehabilitation, LLC Organization, Glenview, IL LLC, Medical staffing company Operational/Managerial Control Dec 15, 2015
Adp of the SNF Jul 10, 2025
Bethesda Long Term Care Inc Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 30, 2000 100%
Adp of the SNF Jun 30, 2000
Samantha Teibel Individual Corporate Director Feb 27, 2025
Michele Kimball Individual Operational/Managerial Control Feb 21, 2021
Adp of the SNF Feb 21, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bethesda DilworthSaint Louis, MO, CCN 265764 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Direct Ownership Interest (100%)		 Apr 1, 2006
Apr 1, 2006
Apr 1, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1750357950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 WOODCREST EXECUTIVE DR STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415047",
            "telephone_number": "314-800-1900",
            "fax_number": "314-900-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5943 TELEGRAPH RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294715",
            "telephone_number": "314-846-2000",
            "fax_number": "314-846-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA LONG TERM CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "BRINKER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-800-1986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101496206",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Southgate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.