NPIMap

Organization Active NPI

Eldercare of the Valley, Inc

Doing business as StoneBridge Florissant

  • Skilled Nursing Facility
  • Florissant, MO
National Provider Identifier
1952308298
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELDERCARE OF THE VALLEY, INC
Doing business as
StoneBridge Florissant
Practice address
6768 N Highway 67
Florissant, MO 63034-2742
Phone
(314) 741-9101
Fax
(314) 741-4936
NPI assigned
Jul 1, 2005
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Mr. Mark Lierman
Title
Authorized Official
Phone
(636) 477-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

6768 N Highway 67
Florissant, MO 63034-2742

Mailing address

6768 N Highway 67
Florissant, MO 63034-2742
Phone (636) 477-3280

Other identifiers 1

IdentifierTypeStateIssuer
102684909MedicaidMO

Other names 1

  • StoneBridge Florissant Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127000653 MO Part A Provider - Skilled Nursing Facility 6608826631 Practice locations: Florissant, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952308298. Details of each certification follow.

Skilled nursing facility certification: CCN 265365

Legal name
ELDERCARE OF THE VALLEY INC
Doing business as
STONEBRIDGE FLORISSANT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1989
Last certification
Feb 28, 2024
Beds
120
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
6768 N Highway 67
Florissant, MO 63034-2742
Nursing home name
STONEBRIDGE FLORISSANT
Affiliated entity
STONEBRIDGE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stonebridge FlorissantCCN 265365 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12071.0 residents per day on average
Chain
Stonebridge Senior Living12 facilities in the chain

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
26D1036328Eldercare of the Valley6768 North Highway 67, Florissant, MO 63034Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Beth Miller Individual Corporate OfficerSecretary Jan 17, 2023
Eric Doerhoff Individual Operational/Managerial ControlVP of Operations - Cho Admin Nov 1, 2021 50%
Adp of the SNF Nov 1, 2021
Enterprise Bank & Trust Organization, Clayton, MO Financial institution Operational/Managerial Control Sep 10, 2023
Donna M Cooper Individual Operational/Managerial Control Sep 19, 2022
Adp of the SNF Sep 19, 2022
Eldercare Management Services Inc Organization, Saint Charles, MO Corporation, Management services company, Chain home office Operational/Managerial Control Feb 14, 2017
Adp of the SNF Apr 22, 2025
Jeanne Thayer Individual Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Iqbal I Amin Individual Operational/Managerial Control Jan 1, 2008
Adp of the SNF Jan 1, 2008
Lierman Family Co III LLC Organization, Saint Charles, MO LLC Adp of the SNF Oct 1, 2004
Wipfli LLP Organization, Clayton, MO Adp of the SNF Jan 1, 2025
Bridge Rehabilitation Inc Organization, Saint Charles, MO Corporation, Medical provider/supplier Operational/Managerial Control Feb 1, 2024
Adp of the SNF Apr 22, 2025
Mark W Lierman Individual 5% Or Greater Direct Ownership InterestPresident Nov 1, 2021 100%
Corporate OfficerPresident Nov 1, 2021 100%
Corporate DirectorPresident Jan 27, 2005 100%
Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 25, 2016
Greg Butz Individual Operational/Managerial Control Sep 15, 2020
Adp of the SNF Sep 15, 2020
Komal Patel Individual Operational/Managerial Control Jun 29, 2023
Adp of the SNF Jun 29, 2023

Owners & managing parties with NPI records 1

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

  • Iqbal Amin, M.D.
    • Geriatric Medicine (Internal Medicine) Physician
    • Saint Louis, MO
    • NPI 1184619835

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1952308298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6768 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342742",
            "telephone_number": "636-477-3280",
            "fax_number": "636-477-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6768 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342742",
            "telephone_number": "314-741-9101",
            "fax_number": "314-741-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF THE VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "LIERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "636-477-3280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102684909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge Florissant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.