NPIMap

Organization Active NPI

St. Sophia Healthcare, LLC

Doing business as St. Sophia Health & Rehab Center

  • Skilled Nursing Facility
  • Florissant, MO
National Provider Identifier
1801261375
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST. SOPHIA HEALTHCARE, LLC
Doing business as
St. Sophia Health & Rehab Center
Practice address
936 Charbonier Rd
Florissant, MO 63031-5220
Phone
(314) 831-4800
Fax
(314) 831-1310
NPI assigned
Dec 9, 2015
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Baruch Jeremias
Title
Member
Phone
(314) 631-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

936 Charbonier Rd
Florissant, MO 63031-5220

Mailing address

6 Cityplace Dr
Ste. 430
Saint Louis, MO 63141-7157
Phone (314) 631-3000

Other names 1

  • St. Sophia Health & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160520000184 MO Part A Provider - Skilled Nursing Facility 9133418767 Practice locations: Florissant, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801261375. Details of each certification follow.

Skilled nursing facility certification: CCN 265120

Legal name
ST SOPHIA HEALTHCARE LLC
Doing business as
ST SOPHIA HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 20, 1975
Last certification
Jan 28, 2025
Beds
240
Ownership / control type
Limited Liability Corporation
Multi-facility organization
MGM HEALTHCARE
Most recent change of ownership
Feb 1, 2016
Organization structure
LLCProprietary
Enrollment address
936 Charbonier Rd
Florissant, MO 63031-5220
Nursing home name
ST SOPHIA HEALTH & REHABILITATION CENTER
Affiliated entity
MGM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Sophia Health & Rehabilitation CenterCCN 265120 · All quality measures
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
Mar 20, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
240159.9 residents per day on average
Chain
MGM Healthcare27 facilities in the chain
Penalties (3 years)
4Fines totaling $69,203

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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
Organization, Chicago, IL LLC Adp of the SNF Dec 4, 2025
Organization, Saint Louis, MO LLC Adp of the SNF Apr 3, 2024
Leah Bloch Individual Indirect Ownership Interest Feb 1, 2016 0.27%
Iqbal I Amin Individual Operational/Managerial Control May 4, 2017
Adp of the SNF Jan 8, 2026
St Sophia Realty LLC Organization, Saint Louis, MO LLC Adp of the SNF Feb 1, 2016
Gwen Cabe Individual Operational/Managerial Control Nov 3, 2025
Adp of the SNF Dec 4, 2025
WRC Equity LLC Organization, Woodmere, NY LLC, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2016 0.27%
Midwest Geriatric Management LLC Organization, Saint Louis, MO LLC Adp of the SNF Feb 1, 2016
Sophia Realty Holdings, LLC Organization, Saint Louis, MO LLC Adp of the SNF Apr 3, 2024
MLS Acquisition LLC Organization, Cedarhurst, NY LLC, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2016 1.53%
Ariel Levy Individual Direct Ownership Interest Feb 1, 2016 2.5%
Sonja Bloch Individual Indirect Ownership Interest Feb 1, 2016 0.27%
Moshe Ratner Individual Indirect Ownership Interest Feb 1, 2016 0.27%
CDW Investments LLC Organization, Saint Louis, MO LLC, Owned by another organization or individual Direct Ownership Interest Jan 1, 2024 5%
Heshy Friedman Individual Indirect Ownership Interest Feb 1, 2016 0.53%
MM Acquisitions, LLC Organization, Saint Louis, MO LLC, Owned by another organization or individual Direct Ownership Interest Jan 1, 2024 5%
Jacob Weindling Individual Indirect Ownership Interest Feb 1, 2016 1.07%
Reliant Pro Rehab, LLC Organization, Manalapan, NJ Corporation, Consulting firm Operational/Managerial Control Feb 1, 2016
Sofia Sunset Resources LLC Organization, Cedarhurst, NY LLC Adp of the SNF Apr 4, 2024
Direct Ownership Interest Feb 1, 2016 5%
Chaim Dov Winter Individual 5% Or Greater Direct Ownership InterestMember of CDW Investments, LLC Feb 1, 2016 5%
Indirect Ownership Interest Feb 1, 2016 5%
10-26 Nationwide TR Organization, Lakewood, NJ Adp of the SNF Apr 3, 2024
Direct Ownership Interest Feb 1, 2016 47.5%
Menachem Winter Individual Indirect Ownership Interest Feb 1, 2016 5%
Organization, Springfield, MO Adp of the SNF Dec 4, 2025
Margalit Ratner Individual Indirect Ownership Interest Feb 1, 2016 0.53%
Organization, Cleveland, OH LLC Adp of the SNF Dec 4, 2025
Judah Bienstock Individual 5% Or Greater Direct Ownership InterestMember Feb 1, 2016 35%
Adp of the SNF Apr 3, 2024
Direct Ownership Interest Feb 1, 2016 35%
Michael Bloch Individual Indirect Ownership Interest Feb 1, 2016 0.27%
Moshe Schreiber Individual Indirect Ownership Interest Feb 1, 2016 1.53%
Joel Bodner Individual Indirect Ownership Interest Feb 1, 2016 0.27%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 9

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

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 2

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": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1801261375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CITYPLACE DR",
            "address_2": "STE. 430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417157",
            "telephone_number": "314-631-3000",
            "fax_number": "314-942-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 CHARBONIER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315220",
            "telephone_number": "314-831-4800",
            "fax_number": "314-831-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. SOPHIA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "JEREMIAS",
        "authorized_official_first_name": "BARUCH",
        "authorized_official_title_or_position": "MEMBER",
        "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": [
        {
            "organization_name": "St. Sophia Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.