Active NPI
Mount Carmel Communities, LLC
- Skilled Nursing Facility
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 033416
- Legal business name
- MOUNT CARMEL COMMUNITIES, LLC
- Practice address
- 723 1St Capitol Dr
Saint Charles, MO 63301-2729 - Phone
- (636) 946-4140
- Fax
- (636) 946-1104
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- C Christopher Brown
- Title
- Executive Director/Coo
- Phone
- (636) 946-4140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 033416 | MO | Primary |
Addresses
Primary practice location
723 1St Capitol Dr
Saint Charles, MO 63301-2729
Mailing address
723 1St Capitol Dr
Saint Charles, MO 63301-2729
Phone (636) 946-4140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106020308 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040506000439 | MO | Part A Provider - Skilled Nursing Facility | 1759379720 | Practice locations: Saint Charles, MO |
Skilled nursing facility certification: CCN 265783
- Legal name
- MOUNT CARMEL COMMUNITIES LLC
- Doing business as
- MOUNT CARMEL SENIOR LIVING-ST CHARLES, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 1, 2004
- Last certification
- Jun 6, 2024
- Beds
- 110 (103 certified)
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Enrollment address
- 723 1St Capitol Dr
Saint Charles, MO 63301-2729
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Laurel Meadows Wellness & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 2004
- Medicare certification status
- Active
- Certified beds
- 103
- Penalties (3 years)
- 4
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0861811 | Mount Carmel Communities LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Victoria Sheehan | 5% Or Greater Direct Ownership Interest | Sep 30, 2003 | 50% |
| Corporate Director | May 6, 2004 | ||
| Adp of the SNF | Nov 27, 2024 | ||
| Andrew R Spann | 5% Or Greater Direct Ownership Interest | Sep 30, 2003 | 50% |
| Corporate Director | May 6, 2004 | ||
| Adp of the SNF | Nov 27, 2024 | ||
| Michael Riggins | Corporate Officer | Sep 18, 2023 | 50% |
| Adp of the SNF | Nov 27, 2024 | ||
| Lynn Conoyer | Corporate Officer | May 1, 2020 | 50% |
| W-2 Managing Employee | May 1, 2005 | 50% | |
| Adp of the SNF | Nov 27, 2024 |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adolescent Medicine (Internal Medicine) Physician
- Chesterfield, MO
- NPI 1790755536
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1073583803
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adolescent Medicine (Internal Medicine) Physician
- Chesterfield, MO
- NPI 1790755536
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323388800000",
"number": "1881729432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 1ST CAPITOL DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012729",
"telephone_number": "636-946-4140",
"fax_number": "636-946-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 1ST CAPITOL DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012729",
"telephone_number": "636-946-4140",
"fax_number": "636-946-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT CARMEL COMMUNITIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2011-12-09",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "C",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/COO",
"authorized_official_telephone_number": "636-946-4140"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "033416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106020308",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.