NPIMap

Organization Active NPI

St Clair Nursing LLC

Doing business as St Clair Nursing Center

  • Skilled Nursing Facility
  • Saint Clair, MO
National Provider Identifier
1841297645
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030993 Issued in MO
Legal business name
ST CLAIR NURSING LLC
Doing business as
St Clair Nursing Center
Practice address
1035 Plaza CT North
Saint Clair, MO 63077-1129
Phone
(636) 629-2100
Fax
(636) 629-7793
NPI assigned
Jul 7, 2005
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mr. James Reiker
Title
Treasurer
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030993 MO Primary

Addresses

Primary practice location

1035 Plaza CT North
Saint Clair, MO 63077-1129

Mailing address

1035 Plaza CT N
Saint Clair, MO 63077-1129
Phone (636) 629-2100

Other names 1

  • St Clair Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030116000014 MO Part A Provider - Skilled Nursing Facility 5294643011 Practice locations: St Clair, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841297645. Details of each certification follow.

Skilled nursing facility certification: CCN 265495

Legal name
ST. CLAIR NURSING LLC
Doing business as
ST CLAIR NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1992
Last certification
Feb 7, 2025
Beds
79
Ownership / control type
Corporation
Multi-facility organization
AMERICARE
Most recent change of ownership
Jan 1, 2003
Organization structure
LLCProprietary
Incorporated
Apr 1, 2002 in DE
Enrollment address
1035 Plaza CT N
St Clair, MO 63077-1129
Nursing home name
ST CLAIR NURSING CENTER
Affiliated entity
AMERICARE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Clair Nursing CenterCCN 265495 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7955.3 residents per day on average
Chain
Americare Senior Living23 facilities in the chain
Penalties (3 years)
1Fines totaling $12,735

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
26D0716436St Clair Nursing Center1035 Plaza Court N, Saint Clair, MO 63077Certificate of waiverAug 31, 2026

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 10

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

NameRoleSinceShare
Clay Crosson Individual OtherChain Home Office Administrator Mar 7, 2013 100%
Richard Henley Montgomery Individual Corporate OfficerPresident Aug 1, 1981 100%
Corporate Director Jan 16, 2003
Kyle Schade Individual Contracted Managing EmployeeVice President of Finance Mar 1, 2021
Corporate OfficerVice President Mar 1, 2021
Denice Marsh Individual W-2 Managing EmployeeAdministrator Aug 15, 2016 100%
James Edward Reiker Individual Contracted Managing EmployeeVice President of Finance Apr 1, 2002
Corporate OfficerTreasureer Apr 1, 2002
W-2 Managing Employee Jan 1, 2003
Americare Systems, Inc. Organization, Sikeston, MO Management services company Operational/Managerial Control Apr 4, 2002 100%
Anna C Montgomery Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2013 50%
St. Clair Nursing LLC Organization, Saint Clair, MO Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2003
R H Montgomery Properties, Inc Organization, Sikeston, MO Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2003
Steven P Hatlestad Individual Operational/Managerial ControlVice President of Operations Apr 1, 2002 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 1

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 3

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1841297645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PLAZA CT N",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771129",
            "telephone_number": "636-629-2100",
            "fax_number": "636-629-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PLAZA CT NORTH",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771129",
            "telephone_number": "636-629-2100",
            "fax_number": "636-629-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "REIKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "573-471-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Clair Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair, MO

Sources for this page

Verify at the official NPI Registry.