Active NPI
Oak Park Healthcare LLC
Doing business as Oak Park Care Center
- Skilled Nursing Facility
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OAK PARK HEALTHCARE LLC
- Doing business as
- Oak Park Care Center
- Practice address
- 6637 Berthold Ave
Saint Louis, MO 63139-3318 - Phone
- (314) 781-3444
- Fax
- (314) 781-6139
- NPI assigned
- Jan 29, 2014
- 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
- Judah Bienstock
- Title
- Managing Member
- Phone
- (314) 631-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | MO | Primary |
Addresses
Primary practice location
6637 Berthold Ave
Saint Louis, MO 63139-3318
Mailing address
6637 Berthold Ave
Saint Louis, MO 63139-3318
Phone (314) 781-3444
Other names 1
- Oak Park Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140228000756 | MO | Part A Provider - Skilled Nursing Facility | 8820228380 | Practice locations: Saint Louis, MO |
Skilled nursing facility certification: CCN 265427
- Legal name
- OAK PARK HEALTHCARE LLC
- Doing business as
- OAK PARK CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 2, 1990
- Last certification
- Aug 14, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- MGM HEALTHCARE
- Most recent change of ownership
- Feb 1, 2014
- Organization structure
- LLC
- Incorporated
- Oct 25, 2013 in MO
- Enrollment address
- 6637 Berthold Ave
Saint Louis, MO 63139-3318 - Nursing home name
- OAK PARK CARE CENTER
- Affiliated entity
- MGM HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oak Park Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 2, 1990
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- MGM Healthcare
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 |
|---|---|---|---|
| 26D0862457 | Oak Park Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Baruch Jeremias | 5% Or Greater Direct Ownership Interest | May 31, 2019 | 50% |
| MLS Acquisition LLC | 5% Or Greater Direct Ownership Interest | May 31, 2019 | 7% |
| Danielle Brooks | W-2 Managing Employee | Dec 19, 2021 | 100% |
| Judah Bienstock | 5% Or Greater Direct Ownership Interest | May 31, 2019 | 43% |
| Corporate Officer | Feb 1, 2014 | 100% |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Quarters at Des Peres
- Skilled Nursing Facility
- Des Peres, MO
- NPI 1700242377
MLS Acquisition LLC
-
- Skilled Nursing Facility
- Springfield, MO
- NPI 1700186939
MLS Acquisition LLC
-
dba Leisure Village Health Care Center
- Skilled Nursing Facility
- Tulsa, OK
- NPI 1083028856
MLS Acquisition LLC
-
dba Rainbow Health Care Community
- Skilled Nursing Facility
- Bristow, OK
- NPI 1881008654
MLS Acquisition LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Town and Country, MO
- NPI 1093813099
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Town and Country, MO
- NPI 1093813099
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421971200000",
"number": "1932522737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6637 BERTHOLD AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631393318",
"telephone_number": "314-781-3444",
"fax_number": "314-781-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6637 BERTHOLD AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631393318",
"telephone_number": "314-781-3444",
"fax_number": "314-781-6139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK PARK HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-29",
"last_updated": "2015-01-23",
"status": "A",
"authorized_official_last_name": "BIENSTOCK",
"authorized_official_first_name": "JUDAH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "314-631-3000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oak Park Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.