NPIMap

Organization Active NPI

Lutheran Senior Services

Doing business as Meridian Village Care Center

  • Skilled Nursing Facility
  • Glen Carbon, IL
National Provider Identifier
1932814548
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LUTHERAN SENIOR SERVICES
Doing business as
Meridian Village Care Center
Practice address
27 Auerbach PL
Glen Carbon, IL 62034-1596
Phone
(618) 277-3700
Fax
(618) 288-2501
NPI assigned
Jan 18, 2023
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Chadwick Sneed
Title
Cfo
Phone
(314) 446-2405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

27 Auerbach PL
Glen Carbon, IL 62034-1596

Mailing address

27 Auerbach PL
Glen Carbon, IL 62034-1596
Phone (618) 277-3700

Other names 1

  • Meridian Village Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230227002568 IL Part A Provider - Skilled Nursing Facility 3577530203 Practice locations: Glen Carbon, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932814548. Details of each certification follow.

Skilled nursing facility certification: CCN 146142

Legal name
LUTHERAN SENIOR SERVICES
Doing business as
MERIDIAN VILLAGE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 3, 2010
Last certification
Nov 22, 2024
Beds
70
Ownership / control type
Church Related
Multi-facility organization
Lutheran Senior Services
Most recent change of ownership
Dec 31, 2022
Organization structure
CorporationNon-profit
Incorporated
Mar 23, 1863 in MO
Enrollment address
27 Auerbach PL
Glen Carbon, IL 62034-1596
Nursing home name
MERIDIAN VILLAGE CARE CENTER

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meridian Village Care CenterCCN 146142 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Nov 3, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7062.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Senior Services19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Lisa Sombart Individual Corporate Director Apr 25, 2017
David a Anderson Individual Corporate Director Jul 1, 2019
Adam Marles Individual Corporate OfficerPresident/Ceo Nov 1, 2021
Corporate DirectorPresident/Ceo Nov 1, 2021
W-2 Managing EmployeePresident/Ceo Nov 1, 2021
Elise McCline Individual Corporate Director Jul 1, 2021
Norman a Toon Individual Corporate Director Jul 1, 2019
Brent Beumer Individual Corporate Director Jun 27, 2022
Chadwick Sneed Individual Corporate OfficerTreasurer/Cfo Jul 1, 2020
W-2 Managing EmployeeCfo Jul 1, 2020
Megan Meadows Individual Corporate Director Jan 24, 2022
Diane R Drollinger Individual Corporate Director Mar 24, 2014
Daniel S Brown Individual Corporate DirectorAssistant Secretary Apr 25, 2018
Frederick M Kuhlmann Individual Corporate OfficerSecretary Apr 28, 2015
Corporate Director Apr 28, 2015
Joel T Christiansen Individual Corporate Director Jan 24, 2022
Roy Christell Individual Corporate Director Apr 25, 2017
Paul Tice Individual Corporate OfficerBoard Vice Chairperson Apr 25, 2017
Corporate Director Apr 25, 2017
Julie Bantle Individual Corporate Director Jul 1, 2019
Jeffrey Dunn Individual Corporate OfficerBoard Chairperson Apr 28, 2015
Corporate DirectorChairperson Apr 28, 2015
Harry Mueller Individual Corporate Director Apr 26, 2016

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lutheran Senior Services at Breeze ParkWeldon Spring, MO, CCN 265767 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 2, 2000
Feb 2, 2000
Lenoir Health Care CenterColumbia, MO, CCN 265639 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 15, 2010
Mar 15, 2010
Lutheran Senior Services at Meramec BluffsBallwin, MO, CCN 265805 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2002
Lutheran Convalescent HomeWebster Groves, MO, CCN 265600 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 2, 1995
Concordia Village Care CenterSpringfield, IL, CCN 146154 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Security Interest (100%)
Operational/Managerial Control		 Dec 12, 2011
Dec 12, 2011
Dec 12, 2011
Mason Pointe Care CenterChesterfield, MO, CCN 265071 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016
Lutheran Senior Services Home HealthSaint Louis, MO, CCN 267543 Home health agency 5% Or Greater Direct Ownership Interest (100%) Mar 6, 2012
LSS Hospice CareSaint Louis, MO, CCN 261631 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2007

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1932814548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 AUERBACH PL",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341596",
            "telephone_number": "618-277-3700",
            "fax_number": "618-288-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 AUERBACH PL",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341596",
            "telephone_number": "618-277-3700",
            "fax_number": "618-288-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-446-2405"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Village Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meridian Village Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Carbon, IL

Sources for this page

Verify at the official NPI Registry.