NPIMap

Organization Active NPI

Bridgeton Operations, LLC

Doing business as Life Care Center of Bridgeton

  • Skilled Nursing Facility
  • Bridgeton, MO
National Provider Identifier
1750797312
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
041644 Issued in MO
Legal business name
BRIDGETON OPERATIONS, LLC
Doing business as
Life Care Center of Bridgeton
Practice address
12145 Bridgeton SQ
Bridgeton, MO 63044-2616
Phone
(314) 298-7444
Fax
(314) 298-7456
NPI assigned
Jul 3, 2014
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 041644 MO Primary

Addresses

Primary practice location

12145 Bridgeton SQ
Bridgeton, MO 63044-2616

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
102232501MedicaidMO

Other names 1

  • Life Care Center of Bridgeton Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140825000156 MO Part A Provider - Skilled Nursing Facility 7911125554 Practice locations: Bridgeton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750797312. Details of each certification follow.

Skilled nursing facility certification: CCN 265345

Legal name
BRIDGETON OPERATIONS LLC
Doing business as
LIFE CARE CENTER OF BRIDGETON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1989
Last certification
Feb 28, 2025
Beds
91
Ownership / control type
Limited Liability Corporation
Multi-facility organization
LIFE CARE CENTERS OF AMERICA
Most recent change of ownership
Jul 1, 2014
Organization structure
LLCProprietary
Enrollment address
12145 Bridgeton Square Dr
Bridgeton, MO 63044-2616
Nursing home name
LIFE CARE CENTER OF BRIDGETON
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of BridgetonCCN 265345 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9178.3 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
1Fines totaling $21,801

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
26D0673411Bridgeton Operations LLC12145 Bridgeton Square Dr, Bridgeton, MO 63044Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Indirect Ownership Interest Jun 24, 2014 100%
Adp of the SNF Aug 31, 2000
Indirect Ownership Interest Jun 24, 2014 100%
Terry Henry Individual Corporate OfficerAssistant Treasurer of MGMT Co Jun 24, 2014
Martin Brent Glover Individual Operational/Managerial Control Jul 8, 2024
Managing Control - Governing BodyAdministrator Jul 8, 2024
Adp of the SNF Mar 11, 2025
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Jun 24, 2014
Indirect Ownership Interest Jun 24, 2014 0.99%
Life Care Affiliates II Organization, Cleveland, TN For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 24, 2014 99%
Adp of the SNF Aug 31, 2000
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Ronda Walker Individual Operational/Managerial Control Apr 1, 2020
Managing Control - Governing BodyDirector of Nursing Apr 1, 2020
Amber Eklund Individual Operational/Managerial Control Aug 16, 2024
Managing Control - Governing BodyDivision Vice President Aug 16, 2024
United Investors LP Organization, Cleveland, TN For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 24, 2014 100%
Adp of the SNF Aug 31, 2000
Naveed Razzaque Individual Operational/Managerial Control Oct 1, 2010
Adp of the SNF Mar 11, 2025
Joan E Thurmond Individual Corporate OfficerAsst Sec of MGMT Co Jun 24, 2014
Cindy S Cross Individual Corporate OfficerVP/Asst Sec of MGMT Co Jun 24, 2014
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 31, 2000
Richard Swanker Individual Corporate OfficerChief Tax Officer of MGMT Co Jun 24, 2014
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jun 24, 2014 100%
Adp of the SNF Mar 10, 2025
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Mar 10, 2025
Lisa M Lay Individual Corporate OfficerSecretary of MGMT Co Jun 4, 2014
James Ziegler Individual Operational/Managerial Control Dec 13, 2024

Owners & managing parties with NPI records 29

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

View all 29

Facilities with the same owner 193

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

View all 193

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 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": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1750797312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12145 BRIDGETON SQ",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442616",
            "telephone_number": "314-298-7444",
            "fax_number": "314-298-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETON OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "041644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102232501",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Bridgeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.