Active NPI
Millennium Management & Consulting, Inc.
- Skilled Nursing Facility
- Saint Louis, MO
National Provider Identifier
1912010109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- O31149
- Legal business name
- MILLENNIUM MANAGEMENT & CONSULTING, INC.
- Practice address
- 37 N Clark Ave
Saint Louis, MO 63135-2323 - Phone
- (314) 521-7419
- Fax
- (314) 521-6889
- NPI assigned
- Aug 15, 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
- John Brencick
- Title
- Administrator
- Phone
- (314) 374-7419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | O31149 | MO | Primary |
Addresses
Primary practice location
37 N Clark Ave
Saint Louis, MO 63135-2323
Mailing address
37 N Clark Ave
Saint Louis, MO 63135-2323
Phone (314) 521-7419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108713900 | Medicaid | MO |
Other names 1
- OAK KNOLL NURSING HOME
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090616000366 | MO | Part A Provider - Skilled Nursing Facility | 9830249747 | Practice locations: Saint Louis, MO |
Skilled nursing facility certification: CCN 265680
- Legal name
- MILLENNIUM MANAGEMENT & CONSULTING INC
- Doing business as
- OAK KNOLL SKILLED NURSING & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 8, 1997
- Last certification
- May 24, 2024
- Beds
- 79
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 37 N Clark Ave
Saint Louis, MO 63135-2323 - Nursing home name
- OAK KNOLL SKILLED NURSING & REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oak Knoll Skilled Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 8, 1997
- Medicare certification status
- Active
- Certified beds
- 79
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 |
|---|---|---|---|
| 26D0673734 | Oak Knoll Nursing & Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Thomas Norris | 5% Or Greater Direct Ownership Interest | Jun 1, 2009 | 50% |
| Corporate Director | Jun 1, 2009 | 50% | |
| Adp of the SNF | Dec 20, 2024 | ||
| John Brencick | 5% Or Greater Direct Ownership Interest | Jun 1, 2009 | 50% |
| Corporate Director | Jun 1, 2009 | 50% | |
| Operational/Managerial Control | Dec 4, 2024 | ||
| Adp of the SNF | Dec 20, 2024 | ||
| Millennium Management & Consulting Inc | 5% Or Greater Direct Ownership Interest | Jun 1, 2009 | |
| Direct Ownership Interest | Jun 1, 2009 |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- St Louis, MO
- NPI 1437275963
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1003899147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245196800000",
"number": "1912010109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 N CLARK AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631352323",
"telephone_number": "314-521-7419",
"fax_number": "314-521-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 N CLARK AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631352323",
"telephone_number": "314-521-7419",
"fax_number": "314-521-6889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM MANAGEMENT & CONSULTING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2009-06-17",
"status": "A",
"authorized_official_last_name": "BRENCICK",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "314-374-7419"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "O31149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108713900",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OAK KNOLL NURSING HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
- Nicholas Anthony Militello, LPC
- Militia of Grace Adult Care Center 'LLC'
- Emir Miljkovic
- Elizabeth Millburn, STUDENT
- Millennium Home Health Care Now
- Millennium Medical Equipment, Inc
- Millennium Pain Management, LLC
- Millennium Sleep Lab, LLC
- Laura Lee Miller-Benchie, LPC, NCC, ATR, LCPC
- Zhanne Chante Miller-Morris
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.