NPIMap

Organization Active NPI

St Peters Operator LLC

Doing business as St Peters Rehab and Healthcare Center

  • Skilled Nursing Facility
  • Saint Peters, MO
National Provider Identifier
1861254948
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST PETERS OPERATOR LLC
Doing business as
St Peters Rehab and Healthcare Center
Practice address
230 Spencer Rd
Saint Peters, MO 63376-2425
Phone
(636) 441-2750
NPI assigned
Jan 25, 2024
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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) 621-1184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

230 Spencer Rd
Saint Peters, MO 63376-2425

Mailing address

311 Blvd of the Americas
Suite 201
Lakewood, NJ 08701
Phone (908) 621-1184

Other names 1

  • St Peters 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
O20240320002103 MO Part A Provider - Skilled Nursing Facility 0042657595 Practice locations: Saint Peters, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861254948. Details of each certification follow.

Skilled nursing facility certification: CCN 265589

Legal name
ST PETERS OPERATOR LLC
Doing business as
ST. PETERS REHAB AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 9, 1994
Last certification
Apr 12, 2024
Beds
96
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Mar 1, 2024
Organization structure
LLCProprietary
Incorporated
Oct 9, 2023 in MO
Enrollment address
230 Spencer Rd
Saint Peters, MO 63376-2425
Nursing home name
ST PETERS REHAB AND HEALTHCARE CENTER
Affiliated entity
AMA HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Peters Rehab and Healthcare CenterCCN 265589 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 9, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9689.2 residents per day on average
Chain
Ama Holdings13 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
6Fines totaling $168,026

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
26D0720998St Peters Rehab and Healthcare Center230 Spencer Rd, Saint Peters, MO 63376Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Eliyahu Kamins Individual W-2 Managing EmployeeAdministrator Mar 1, 2024
Asher Marx Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 47.5%
Corporate DirectorManaging Member Mar 1, 2024 47.5%
Operational/Managerial ControlManaging Member Mar 1, 2024 47.5%
Def Holdings LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 50%
St Peters Holdco LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2024 100%
St Peters Partners LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Jacques Wolf Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 47.5%
Corporate DirectorManaging Member Mar 1, 2024 47.5%
Operational/Managerial ControlManaging Member Mar 1, 2024 47.5%
Ama Holdings LLC Organization, Toms River, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 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, 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": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1861254948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BLVD OF THE AMERICAS",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "908-621-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SPENCER RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762425",
            "telephone_number": "636-441-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERS OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-621-1184"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Peters Rehab and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.