Organization Active NPI

Millennium Management & Consulting, Inc.

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1912010109
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
O31149 Issued in MO
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

Updated by the provider on Jun 17, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
108713900MedicaidMO

Other names 1

  • OAK KNOLL NURSING HOME Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CenterCCN 265680
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 8, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7969.2 residents per day on average

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
26D0673734Oak Knoll Nursing & Rehabilitation Center37 N Clark, Ferguson, MO 63135Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Thomas Norris Individual 5% Or Greater Direct Ownership Interest Jun 1, 2009 50%
Corporate DirectorDirector Jun 1, 2009 50%
Adp of the SNF Dec 20, 2024
John Brencick Individual 5% Or Greater Direct Ownership Interest Jun 1, 2009 50%
Corporate DirectorDirector Jun 1, 2009 50%
Operational/Managerial Control Dec 4, 2024
Adp of the SNF Dec 20, 2024
Millennium Management & Consulting Inc Organization, Saint Louis, MO For-profit 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.

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

Sources for this page

Verify at the official NPI Registry.