Grove Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GROVE HEALTHCARE LLC

Doing business as

The Grove at Kirkwood

Practice address

711 S Kirkwood Rd
Kirkwood, MO 63122-5928

Phone

(314) 965-0864

NPI assigned

Sep 24, 2025

Last updated

Sep 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eliot Berger

Title

Manager

Phone

(516) 277-6218

Specialties & licenses 1

Addresses

Other names 1

• The Grove at Kirkwood Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912870288. Details of each certification follow.

• CCN 265833 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265833

Legal name

GROVE HEALTHCARE LLC

Doing business as

THE GROVE AT KIRKWOOD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 2010

Last certification

May 7, 2024

Beds

117

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

711 S Kirkwood Rd
Kirkwood, MO 63122-5928

Nursing home name

GROVE AT KIRKWOOD, THE

Affiliated entity

BLUE SKY BASIN, LLC

Listed as

Grove at Kirkwood, theCCN 265833 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

117101.0 residents per day on average

Chain

Blue Sky Basin, LLC5 facilities in the chain

Special focus status

SFF Candidate

Penalties (3 years)

2Fines totaling $172,400

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 22

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Raj M Sajid, M.D.

  • Family Medicine Physician
  • Collinsville, IL
  • NPI 1265529630

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Chelsea Lyn Daniels, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Saint Louis, MO
  • NPI 1194384560

  Nursing home

  Care Compare affiliation
• Felice Ann Rolnick, MD

  • Internal Medicine Physician
  • Fenton, MO
  • NPI 1659317188

  Nursing home

  Care Compare affiliation
• Raj M Sajid, M.D.

  • Family Medicine Physician
  • Collinsville, IL
  • NPI 1265529630

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1912870288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 E 43RD ST S STE 201",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225928",
            "telephone_number": "314-965-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-277-6218"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove at Kirkwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Grega, M.ED, LPC
• Denise Renee Grider, MS, ATC, CSCS, PES
• Kathleen Ann Griffith, MS, CCC-SLP
• Dawn Gross, MSW, LCSW
• Lauren Elizabeth Groszek, DPT
• Jonas V Grybinas, MD
• John A Haden, DMD
• Abby R Hailand, DDS
• Lisa D. Haines, D.M.D.
• Jasmin Hallowell

• Skilled Nursing Facility in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.

Verify at the official NPI Registry.