NPIMap

Organization Active NPI

Mercy Rehabilitation Hospital - St Louis, LLC

  • Rehabilitation Hospital
  • Chesterfield, MO
National Provider Identifier
1811048614
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MERCY REHABILITATION HOSPITAL - ST LOUIS, LLC
Practice address
14561 North Outer Forty Road
Chesterfield, MO 63017-5703
Phone
(314) 881-4006
Fax
(314) 881-4188
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Jerald Rumph
Title
Ceo
Phone
(314) 315-0483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

14561 North Outer Forty Road
Chesterfield, MO 63017-5703

Mailing address

14561 North Outer Forty Road
Chesterfield, MO 63017-5703
Phone (314) 881-4006

Other identifiers 1

IdentifierTypeStateIssuer
016341703MedicaidMO

Other names 1

  • St John's Mercy Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000337 MO Part A Provider - Hospital 7517065550 1 other NPI on this enrollment
Practice locations: Chesterfield, MO

Hospital certification: CCN 263029

Legal name
MERCY REHABILITATION HOSPITAL - ST LOUIS LLC
Doing business as
MERCY REHABILITATION HOSPITAL ST LOUIS
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Aug 9, 2007
Last certification
Nov 3, 2011
Beds
68
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Oct 14, 2004 in MO
Enrollment address
14561 N Outer 40 Rd
Chesterfield, MO 63017-5703
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mercy Rehabilitation Hospital St LouisCCN 263029
Ownership
For profit
Certified
Aug 9, 2007
Medicare certification status
ActiveFrom the Provider of Services file

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
26D1067383Mercy Rehabilitation Hospital St Louis14561 N Outer Forty, Chesterfield, MO 63017Certificate of waiverApr 16, 2027

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 17

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

NameRoleSinceShare
Donna Flannery Individual Corporate DirectorBoard Member Jul 25, 2007
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 50.5%
Mercy Hospitals East Communities Organization, Saint Louis, MO For-profit 5% Or Greater Direct Ownership Interest Jul 25, 2007 49.5%
CHC Management Services LLC Organization, Brentwood, TN For-profit Operational/Managerial Control Jul 2, 2018 100%
Lifepoint Rehab LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 50.5%
Kathryn J Nelson Individual Corporate DirectorBoard Member Jan 1, 2015
Terrance K Dillon Individual Corporate OfficerAssistant Secretary Mar 30, 2022
Lifepoint Health Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 50.5%
Robyn Weilbacher Individual Corporate DirectorBoard Member Aug 9, 2021
Marcus B Poppell Individual OtherVice President Dec 23, 2021
CRH of St. Louis LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Jul 25, 2007 50.5%
Mark Krassinger Individual Corporate DirectorBoard Member Aug 9, 2021
Joseph Koehler Individual Corporate OfficerCeo Apr 15, 2021
Operational/Managerial Control Apr 15, 2021
Centerre Healthcare LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 28, 2019 50.5%
Joseph a. Fuller Individual Corporate DirectorBoard Member Jul 2, 2018
Donald Kalicak Individual Corporate DirectorBoard Member Jan 1, 2015
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Mar 29, 2022 50.5%

Owners & managing parties with NPI records 4

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

Facilities with the same owner 79

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

View all 79

Practitioners & affiliated clinicians

Practitioners 6

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

Affiliated clinicians 11

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1811048614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14561 NORTH OUTER FORTY ROAD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175703",
            "telephone_number": "314-881-4006",
            "fax_number": "314-881-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14561 NORTH OUTER FORTY ROAD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175703",
            "telephone_number": "314-881-4006",
            "fax_number": "314-881-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REHABILITATION HOSPITAL - ST LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "RUMPH",
        "authorized_official_first_name": "JERALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-315-0483"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016341703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St John's Mercy Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St John's Mercy Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.