Willowcreek Wellness & Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WILLOWCREEK WELLNESS & REHABILITATION LLC

Practice address

250 S New Florissant Rd
Florissant, MO 63031-6716

Phone

(314) 838-2211

Fax

(314) 838-5981

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

David Garetz

Title

Cfo

Phone

(323) 987-5954

Specialties & licenses 1

Addresses

Other names 1

• Willowcreek Wellness & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265607

Legal name

WILLOWCREEK WELLNESS & REHABILITATION LLC

Doing business as

WILLOWCREEK WELLNESS & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1995

Last certification

Aug 14, 2024

Beds

158

Ownership / control type

Limited Liability Corporation

Multi-facility organization

OPCO SKILLED MANAGEMENT

Most recent change of ownership

Jul 30, 2024

Organization structure

LLCProprietary

Enrollment address

250 S New Florissant Rd
Florissant, MO 63031-6716

Nursing home name

WILLOWCREEK WELLNESS & REHABILITATION

Affiliated entity

OPCO SKILLED MANAGEMENT

Listed as

Willowcreek Wellness & RehabilitationCCN 265607

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

158111.7 residents per day on average

Chain

Opco Skilled Management66 facilities in the chain

Penalties (3 years)

5Fines totaling $90,333

Processed by Care Compare on Aug 1, 2026.

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.

Owners & managing parties with NPI records 1

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

• Iqbal Amin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1184619835

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 4

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

• Blooming Oaks Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Saint Louis, MO
  • NPI 1699528422

  Blooming Willow Partners LLC, Derhoben Trust, Pas B Sol Trust, Wildflower Healthcare LLC

  CMS ownership
• Blue Springs Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Blue Springs, MO
  • NPI 1639998479

  Blooming Willow Partners LLC, Derhoben Trust, Pas B Sol Trust, Wildflower Healthcare LLC

  CMS ownership
• Maple Grove Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Fenton, MO
  • NPI 1861231698

  Blooming Willow Partners LLC, Derhoben Trust, Pas B Sol Trust, Wildflower Healthcare LLC

  CMS ownership
• Sage Nursing & Rehab LLC

  • Skilled Nursing Facility
  • Saint Louis, MO
  • NPI 1427897255

  Blooming Willow Partners LLC, Derhoben Trust, Pas B Sol Trust, Wildflower Healthcare LLC

  CMS ownership

Practitioners 1

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

• Iqbal Amin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1184619835
  NPD (past)

Affiliated clinicians 1

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

• Iqbal Amin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1184619835

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1780437517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S NEW FLORISSANT RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316716",
            "telephone_number": "314-838-2211",
            "fax_number": "314-838-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S NEW FLORISSANT RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316716",
            "telephone_number": "314-838-2211",
            "fax_number": "314-838-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWCREEK WELLNESS & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "GARETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-987-5954"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowcreek Wellness & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Justine Williams
• Tai'Janae Williams
• Tammy D Williams
• Tyana Samaia Williams
• Raishelle Lavette Willis, FNP-C
• Asia Wilson, RBT
• Aubrey Linn Wilson, O.D.
• Deborah Ann Wilson
• Detreece Wilson
• Javda Miasha Wilson, FNP

• Skilled Nursing Facility in Florissant, MO
• Providers in Florissant, 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 Apr 10, 2024; 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.