Sunterra Dardenne Prairie Oc LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUNTERRA DARDENNE PRAIRIE OC LLC

Doing business as

Sunterra Springs Dardenne Prairie

Practice address

7275 Highway N
Dardenne Prairie, MO 63368-7126

Phone

(686) 865-0200

Fax

(636) 865-0201

NPI assigned

May 29, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Snowball

Title

Governing Body Chair

Phone

(801) 397-4000

Specialties & licenses 1

Addresses

Other names 1

• Sunterra Springs Dardenne Prairie Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265881

Legal name

SUNTERRA DARDENNE PRAIRIE OC LLC

Doing business as

SUNTERRA SPRINGS DARDENNE PRAIRIE

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Dec 18, 2020

Last certification

Nov 30, 2023

Beds

38

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Sunterra Springs LLC

Organization structure

LLC

Enrollment address

7275 Highway N
Dardenne Prairie, MO 63368-7126

Nursing home name

SUNTERRA SPRINGS DARDENNE PRAIRIE

Affiliated entity

SUNTERRA SPRINGS

Listed as

Sunterra Springs Dardenne PrairieCCN 265881 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

For profit - Limited Liability company

Certified

Dec 18, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3832.2 residents per day on average

Chain

Sunterra Springs4 facilities in the chain

Penalties (3 years)

3Fines totaling $49,722

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 26

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

Owners & managing parties with NPI records 1

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

• Lewis Aaron Meyerson, M.D.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1568560720

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Scott Michael Dembiec, MD

  • Hospitalist Physician
  • Washington, MO
  • NPI 1619178159
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Scott Michael Dembiec, MD

  • Hospitalist Physician
  • Washington, MO
  • NPI 1619178159

  Nursing home

  Care Compare affiliation
• Lewis Aaron Meyerson, M.D.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1568560720

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1760006308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 W 900 S STE 220",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840108195",
            "telephone_number": "801-397-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 HIGHWAY N",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633687126",
            "telephone_number": "686-865-0200",
            "fax_number": "636-865-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNTERRA DARDENNE PRAIRIE OC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SNOWBALL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "GOVERNING BODY CHAIR",
        "authorized_official_telephone_number": "801-397-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunterra Springs Dardenne Prairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Louise Smith
• Jake Wayne Smith, D.C., M.S., B.S.
• SP Emr Med Associates LLC
• Jordan Elise Stulce
• Summit Counseling Services, LLC
• Devyn Tarver
• Mallary Taylor, COTA/L
• Terrace Home Health Dardenne Prairie LLC
• Katherine Triplett, COTA
• Universal First Assist Associates

• Skilled Nursing Facility in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.