NPIMap

Organization Active NPI

Gregory Ridge Health Care Center, L.L.C.

  • Skilled Nursing Facility
  • Kansas City, MO
National Provider Identifier
1881048338
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREGORY RIDGE HEALTH CARE CENTER, L.L.C.
Practice address
7001 Cleveland Ave
Kansas City, MO 64132-1622
Phone
(816) 333-0700
Fax
(816) 333-6687
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Mr. Robert J Craddick
Title
In-House Counsel
Phone
(314) 543-3816

Specialties & licenses 1

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

Addresses

Primary practice location

7001 Cleveland Ave
Kansas City, MO 64132-1622

Mailing address

1869 Craig Park CT
Saint Louis, MO 63146-4122
Phone (314) 543-3805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160727001389 MO Part A Provider - Skilled Nursing Facility 5193018299 Practice locations: Kansas City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881048338. Details of each certification follow.

Skilled nursing facility certification: CCN 265721

Legal name
GREGORY RIDGE HEALTH CARE CENTER, L.L.C.
Doing business as
GREGORY RIDGE HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 5, 2001
Last certification
Dec 23, 2024
Beds
116
Ownership / control type
Limited Liability Corporation
Multi-facility organization
RELIANT CARE MANAGEMENT
Most recent change of ownership
Jun 1, 2016
Organization structure
LLCProprietary
Enrollment address
7001 Cleveland Ave
Kansas City, MO 64132-1622
Nursing home name
GREGORY RIDGE HEALTH CARE CENTER
Affiliated entity
RELIANT CARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gregory Ridge Health Care CenterCCN 265721 · All quality measures
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
Oct 5, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
116102.3 residents per day on average
Chain
Reliant Care Management34 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
8Fines totaling $708,002

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Gregory Ridge Health Care Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
RCG Inc Organization, Saint Louis, MO Corporation, Holding company, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2016 0.01%
Richard J. Destefane Revocable Living Trust Organization, Saint Louis, MO Adp of the SNF Mar 1, 2018
Indirect Ownership Interest Mar 1, 2018 100%
Richard J Destefane Individual Corporate OfficerPresident Jun 1, 2016 100%
Operational/Managerial Control Jun 1, 2016
Adp of the SNF Mar 1, 2018
Indirect Ownership Interest Mar 1, 2018 100%
Reliant Care Group LLC Organization, Saint Louis, MO LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Jun 1, 2016 100%
TLG II LLP Organization, Saint Louis, MO Holding company Adp of the SNF Jun 1, 2016
Reliant Care Management Company LLC Organization, Saint Louis, MO LLC, Management services company, Chain home office Operational/Managerial Control Jun 1, 2016
Adp of the SNF Jun 17, 2025
Ronald Hicks Individual Operational/Managerial Control Apr 4, 2025
Adp of the SNF Apr 4, 2025
KC Ridge Associates, L.L.C. Organization, Saint Louis, MO LLC Adp of the SNF Jun 1, 2016
Abdullah Arshad Individual Operational/Managerial Control Sep 15, 2024
Adp of the SNF Sep 15, 2024

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 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 7

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 1

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": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1881048338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CRAIG PARK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464122",
            "telephone_number": "314-543-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CLEVELAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321622",
            "telephone_number": "816-333-0700",
            "fax_number": "816-333-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY RIDGE HEALTH CARE CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "CRADDICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "IN-HOUSE COUNSEL",
        "authorized_official_telephone_number": "314-543-3816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.