NPIMap

Organization Active NPI

Rancho Operator LLC

  • Skilled Nursing Facility
  • Florissant, MO
National Provider Identifier
1821762691
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RANCHO OPERATOR LLC
Practice address
615 Rancho LN
Florissant, MO 63031-1717
Phone
(314) 839-2150
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Jacques Wolf
Title
Manager
Phone
(908) 421-1184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

615 Rancho LN
Florissant, MO 63031-1717

Mailing address

10 Grandview Dr
Lakewood, NJ 08701-3881

Other names 1

  • Rancho Rehab and Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211108001505 MO Part A Provider - Skilled Nursing Facility 4981093200 Practice locations: Florissant, MO

Skilled nursing facility certification: CCN 265402

Legal name
RANCHO OPERATOR LLC
Doing business as
RANCHO REHAB AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 15, 1989
Last certification
Mar 11, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Oct 19, 2021
Organization structure
LLCProprietary
Incorporated
Jun 22, 2021 in MO
Enrollment address
615 Rancho LN
Florissant, MO 63031-1717
Nursing home name
RANCHO REHAB AND HEALTHCARE CENTER
Affiliated entity
AMA HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rancho Rehab and Healthcare CenterCCN 265402
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 - Limited Liability company
Certified
Sep 15, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12081.0 residents per day on average
Chain
Ama Holdings13 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $28,060

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Asher Marx Individual 5% Or Greater Indirect Ownership Interest Oct 19, 2021 50%
Corporate DirectorManaging Member Oct 19, 2021 50%
Def Holdings LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 19, 2021 50%
Mo Operation Holdings de Spe LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Jan 25, 2024 99%
Operational/Managerial Control Jan 25, 2024 99%
Danielle M Young Individual W-2 Managing EmployeeAdministrator Oct 19, 2021
Jacques Wolf Individual 5% Or Greater Indirect Ownership Interest Oct 19, 2021 50%
Corporate DirectorManaing Member Oct 19, 2021 50%
Ama Holdings LLC Organization, Baltimore, MD LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 19, 2021 50%

Facilities with the same owner 12

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

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1821762691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRANDVIEW DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RANCHO LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311717",
            "telephone_number": "314-839-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-421-1184"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Rehab and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.