Active NPI
Jefferson Health Care Inc
- Skilled Nursing Facility
- Lees Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 045063
- Legal business name
- JEFFERSON HEALTH CARE INC
- Practice address
- 615 SW Oldham Pkwy
Lees Summit, MO 64081-2602 - Phone
- (816) 524-3328
- NPI assigned
- Jul 7, 2006
- 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
- Cliff Shirrell
- Title
- Vice President
- Phone
- (573) 471-1276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 045063 | MO | Primary |
Addresses
Primary practice location
615 SW Oldham Pkwy
Lees Summit, MO 64081-2602
Mailing address
PO Box 1210
Sikeston, MO 63801-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101456705 | Medicaid | MO |
Other names 1
- Jefferson Health Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050614001040 | MO | Part A Provider - Skilled Nursing Facility | 9335183987 | Practice locations: Lees Summit, MO |
Skilled nursing facility certification: CCN 265377
- Legal name
- JEFFERSON HEALTH CARE INC
- Doing business as
- JEFFERSON HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 24, 1989
- Last certification
- Apr 4, 2025
- Beds
- 120 (118 certified)
- Ownership / control type
- Corporation
- Multi-facility organization
- CASTLE PARTNERS
- Organization structure
- Corporation
- Enrollment address
- 615 SW Oldham Pkwy
Lees Summit, MO 64081-2602 - Nursing home name
- JEFFERSON HEALTH CARE
- Affiliated entity
- CIRCLE B ENTERPRISES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Jefferson Health Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 24, 1989
- Medicare certification status
- Active
- Certified beds
- 118
- Chain
- Circle B Enterprises
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 26D0715636 | Jefferson Health Care | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Sovereign Healthcare Group LLC | Operational/Managerial Control | Apr 23, 2021 | |
| Adp of the SNF | Apr 6, 2025 | ||
| Ramilo I Gatapia | Operational/Managerial Control | Mar 14, 2011 | |
| Adp of the SNF | Mar 14, 2011 | ||
| FG LLC | Adp of the SNF | Dec 2, 2016 | |
| Mid States Inc | Adp of the SNF | Nov 1, 2010 | |
| Adp of the SNF | Jan 1, 2000 | ||
| Van de Ven LLC | Adp of the SNF | Jan 1, 2000 | |
| Lees Properties LLC | Adp of the SNF | Jan 1, 2010 | |
| Circle B Enterprises Holding Company Inc | 5% Or Greater Direct Ownership Interest | Jan 1, 1996 | 100% |
| Todd Beaird | Corporate Officer | Jan 1, 2022 | |
| Adp of the SNF | Jan 25, 2022 | ||
| Donald B Bedell | Corporate Officer | Jan 6, 1997 | |
| Corporate Director | Oct 31, 2000 | ||
| Operational/Managerial Control | Jan 1, 1997 | ||
| Adp of the SNF | Jan 1, 2000 | ||
| DCB Real Estate Partnership LP | Adp of the SNF | Apr 11, 2025 | |
| Sara Hyatt | Operational/Managerial Control | Feb 6, 2026 | |
| Adp of the SNF | Feb 6, 2026 | ||
| Forvis Mazars LLP | Adp of the SNF | Aug 16, 2021 | |
| Agh1 LLC | Operational/Managerial Control | Dec 2, 2016 | |
| Adp of the SNF | Mar 26, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1457448706
Adp of the SNF, Operational/Managerial Control
-
- Home Health Agency
- New Madrid, MO
- NPI 1447821418
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 41
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Ava, MO
- NPI 1518999515
Agh1 LLC, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Boonville, MO
- NPI 1295767275
Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Boonville, MO
- NPI 1740212760
Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Cameron, MO
- NPI 1194757112
Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Cape Girardeau, MO
- NPI 1649202623
Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Caruthersville, MO
- NPI 1457708018
Agh1 LLC, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Clinton, MO
- NPI 1033141015
Agh1 LLC, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Clinton, MO
- NPI 1548913288
Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Sikeston, MO
- NPI 1912939976
Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Saint Louis, MO
- NPI 1750313730
Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Ellington, MO
- NPI 1629000690
Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC
-
- Skilled Nursing Facility
- Excelsior Springs, MO
- NPI 1265464234
Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1457448706
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1457448706
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490572800000",
"number": "1891728770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1210",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638011210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SW OLDHAM PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640812602",
"telephone_number": "816-524-3328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2017-03-27",
"status": "A",
"authorized_official_last_name": "SHIRRELL",
"authorized_official_first_name": "CLIFF",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "573-471-1276"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "045063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101456705",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jefferson Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.