NPIMap

Organization Active NPI

Florissant Healthcare, LLC

  • Skilled Nursing Facility
  • Florissant, MO
National Provider Identifier
1770077463
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FLORISSANT HEALTHCARE, LLC
Practice address
1200 Graham Rd
Florissant, MO 63031-8015
Phone
(314) 838-6555
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Judah Bienstock
Title
Ceo
Phone
(314) 631-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1200 Graham Rd
Florissant, MO 63031-8015

Mailing address

477 N Lindbergh Blvd Ste 310
Saint Louis, MO 63141-7856
Phone (314) 631-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180808000917 MO Part A Provider - Skilled Nursing Facility 7113275116 Practice locations: Florissant, MO

Skilled nursing facility certification: CCN 265112

Legal name
FLORISSANT HEALTHCARE, LLC
Doing business as
FLORISSANT VALLEY HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1983
Last certification
Nov 22, 2024
Beds
98
Ownership / control type
Corporation
Multi-facility organization
MGM HEALTHCARE
Most recent change of ownership
Aug 8, 2018
Organization structure
LLCProprietary
Incorporated
May 10, 2018 in DE
Enrollment address
1200 Graham Rd
Florissant, MO 63031-8015
Nursing home name
FLORISSANT VALLEY HEALTH & REHABILITATION CENTER
Affiliated entity
MGM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Florissant Valley Health & Rehabilitation CenterCCN 265112
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9873.3 residents per day on average
Chain
MGM Healthcare27 facilities in the chain

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
26D0437354Florissant Valley Health & Rehabilitation Center1200 Graham Road, Florissant, MO 63031Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3949 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-0710

1200 Graham Rd
Florissant, MO 63031
Phone (314) 383-6555

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Angela Sweet Individual W-2 Managing EmployeeAdministrator Jul 26, 2022 100%
Florissant Springfield Holdings, LLC Organization, Saint Louis, MO Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Aug 8, 2018 100%
Baruch Jeremias Individual 5% Or Greater Indirect Ownership InterestTrustee of 10-26 Nationwide TR Aug 8, 2018 45%
Springflo Investments, LLC Organization, Saint Louis, MO Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Aug 8, 2018 35%
Springfield Florissant Resources, LLC Organization, Cedarhurst, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Aug 8, 2018 20%
Ariel Levy Individual 5% Or Greater Indirect Ownership InterestMember of Springflo Investments LLC Aug 8, 2018 10%
10-26 Nationwide TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Aug 8, 2018 45%
Judah Bienstock Individual 5% Or Greater Indirect Ownership InterestMember of Springflo Investments Aug 8, 2018 25%
Corporate OfficerCeo Aug 8, 2018 100%
Moshe Schreiber Individual 5% Or Greater Indirect Ownership InterestMem. of Springfield Florissant Res. Aug 8, 2018 10%

Facilities with the same owner 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1770077463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N LINDBERGH BLVD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417856",
            "telephone_number": "314-631-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GRAHAM RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318015",
            "telephone_number": "314-838-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORISSANT HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-631-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.