Organization Active NPI

Bky Healthcare of Milan, Inc.

Doing business as Milan Health Care Center

  • Skilled Nursing Facility
  • Milan, MO
National Provider Identifier
1932345907
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
038697 Issued in MO
Legal business name
BKY HEALTHCARE OF MILAN, INC.
Doing business as
Milan Health Care Center
Practice address
52435 Infirmary Road
Milan, MO 63556-2874
Phone
(660) 265-4032
Fax
(660) 265-4562
NPI assigned
Dec 22, 2008
Last updated
May 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Mr. Ashwin Dundoo
Title
Finance
Phone
(314) 543-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 036462 MO
Skilled Nursing Facility 314000000X 038697 MO Primary

Addresses

Primary practice location

52435 Infirmary Road
Milan, MO 63556-2874

Mailing address

1869 Craig Park CT
Saint Louis, MO 63146-4122
Phone (314) 543-3800

Other identifiers 1

IdentifierTypeStateIssuer
101450005MedicaidMO

Other names 1

  • Milan Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090302000047 MO Part A Provider - Skilled Nursing Facility 1153487046 Practice locations: Milan, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932345907. Details of each certification follow.

Skilled nursing facility certification: CCN 265238

Legal name
BKY HEALTHCARE OF MILAN, INC
Doing business as
MILAN HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 4, 1984
Last certification
Mar 5, 2025
Beds
100
Ownership / control type
Corporation
Multi-facility organization
RELIANT CARE MANAGEMENT
Most recent change of ownership
Jan 1, 2009
Organization structure
CorporationProprietary
Incorporated
Dec 23, 2008 in MO
Enrollment address
52435 Infirmary Rd
Milan, MO 63556-2874
Nursing home name
MILAN HEALTH CARE CENTER
Affiliated entity
RELIANT CARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Milan Health Care CenterCCN 265238 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 4, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10094.9 residents per day on average
Chain
Reliant Care Management34 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $49,897

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Richard J Destefane Individual Corporate OfficerPresident Jan 28, 2011 100%
Richard J Destefane Revocable Living Trust Organization, St Louis, MO 5% Or Greater Indirect Ownership Interest Mar 1, 2018 100%
Reliant Care Investors Inc Organization, St Louis, MO Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Jan 28, 2011 100%
Reliant Care Management Company LLC Organization, Saint Louis, MO LLC Operational/Managerial Control Jan 28, 2011
Delynna Jones Individual W-2 Managing EmployeeAdministrator Jul 29, 2017 100%

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 32

Practitioners & affiliated clinicians

Practitioners 4

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": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1932345907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CRAIG PARK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464122",
            "telephone_number": "314-543-3800",
            "fax_number": "314-543-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52435 INFIRMARY ROAD",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635562874",
            "telephone_number": "660-265-4032",
            "fax_number": "660-265-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKY HEALTHCARE OF MILAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "DUNDOO",
        "authorized_official_first_name": "ASHWIN",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "314-543-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "036462",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "038697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101450005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milan Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milan, MO

Sources for this page

Verify at the official NPI Registry.