NPIMap

Organization Active NPI

Eldercare of Marble Hill, LLC

Doing business as StoneBridge Marble Hill

  • Skilled Nursing Facility
  • Marble Hill, MO
National Provider Identifier
1902803232
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELDERCARE OF MARBLE HILL, LLC
Doing business as
StoneBridge Marble Hill
Practice address
702 Highway 34 W
Marble Hill, MO 63764-4301
Phone
(573) 238-2614
Fax
(573) 238-9835
NPI assigned
Jul 1, 2005
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Mr. Mark Lierman
Title
Authorized Official
Phone
(636) 477-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

702 Highway 34 W
Marble Hill, MO 63764-4301

Mailing address

702 Highway 34 W
Marble Hill, MO 63764-4301
Phone (636) 477-3280

Other identifiers 1

IdentifierTypeStateIssuer
102069408MedicaidMO

Other names 1

  • StoneBridge Marble Hill Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100119000611 MO Part A Provider - Skilled Nursing Facility 8123160868 Practice locations: Marble Hill, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902803232. Details of each certification follow.

Skilled nursing facility certification: CCN 265553

Legal name
ELDERCARE OF MARBLE HILL, LLC
Doing business as
STONEBRIDGE MARBLE HILL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 21, 1993
Last certification
Sep 13, 2024
Beds
98
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
702 Highway 34 W
Marble Hill, MO 63764-4301
Nursing home name
STONEBRIDGE MARBLE HILL
Affiliated entity
STONEBRIDGE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stonebridge Marble HillCCN 265553 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 21, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9869.0 residents per day on average
Chain
Stonebridge Senior Living12 facilities in the chain

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
26D0663479Eldercare of Marble Hill LLC702 Highway 34 West, Marble Hill, MO 63764Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Beth Miller Individual Adp of the SNF Jan 17, 2023
Eric Doerhoff Individual Operational/Managerial ControlVP of Oper Cho Admin Nov 1, 2021 50%
Adp of the SNF Nov 1, 2021
Enterprise Bank & Trust Organization, Clayton, MO Financial institution Operational/Managerial Control May 30, 2008
Eldercare Management Services Inc Organization, Saint Charles, MO Corporation, Management services company, Chain home office Operational/Managerial Control Mar 29, 1999
Adp of the SNF Apr 22, 2025
Jeanne Thayer Individual Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Renee Ellis Individual Operational/Managerial Control Jun 1, 2016
Adp of the SNF Jun 1, 2016
Wipfli LLP Organization, Clayton, MO Adp of the SNF Jan 1, 2025
Abbey Jansen Individual Operational/Managerial Control Aug 19, 2024
Adp of the SNF Aug 19, 2024
Kellie Cook Individual Adp of the SNF Jul 7, 2011
Bridge Rehabilitation Inc Organization, Saint Charles, MO Medical provider/supplier Operational/Managerial Control Feb 1, 2024
Adp of the SNF Apr 22, 2025
Mark W Lierman Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Corporate OfficerPresident Nov 1, 2021 100%
Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 25, 2016
James R Palen Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Lierman Family Partnership II Organization, Saint Charles, MO Adp of the SNF Oct 1, 1999

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 11

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 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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1902803232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 HIGHWAY 34 W",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "637644301",
            "telephone_number": "636-477-3280",
            "fax_number": "636-477-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HIGHWAY 34 W",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "637644301",
            "telephone_number": "573-238-2614",
            "fax_number": "573-238-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF MARBLE HILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "LIERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "636-477-3280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102069408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge Marble Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marble Hill, MO

Sources for this page

Verify at the official NPI Registry.