NPIMap

Organization Active NPI

Mercy Rehabilitation Hospital South LLC

  • Rehabilitation Hospital
  • St Louis, MO
National Provider Identifier
1992435895
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MERCY REHABILITATION HOSPITAL SOUTH LLC
Practice address
10114 Kennerly Rd
St Louis, MO 63128-2183
Phone
(314) 525-1000
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Daniel Eckenfels
Title
VP Finance
Phone
(314) 525-1483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

10114 Kennerly Rd
St Louis, MO 63128-2183

Mailing address

10114 Kennerly Rd
St Louis, MO 63128-2183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221108001408 MO Part A Provider - Hospital 6002283884 Practice locations: Saint Louis, MO

Hospital certification: CCN 263034

Legal name
MERCY REHABILITATION HOSPITAL SOUTH LLC
Doing business as
MERCY REHABILITATION HOSPITAL SOUTH
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Dec 22, 2022
Last certification
Dec 22, 2022
Beds
50
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jan 14, 2020 in MO
Enrollment address
10114 Kennerly Rd
Saint Louis, MO 63128-2183
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mercy Rehabilitation Hospital SouthCCN 263034
Ownership
For profit
Certified
Dec 22, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
26D2270929Mercy Rehabilitation Hospital South LLC10114 Kennerly Road, Saint Louis, MO 63128Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Donna Flannery Individual Corporate DirectorBoard Member Dec 1, 2022
Daniel S Eckenfels Individual Corporate DirectorBoard Member Dec 1, 2022
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2023 50.5%
KND Irf Development 56, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 50.5%
CHC Management Services LLC Organization, Brentwood, TN LLC, Management services company, For-profit Operational/Managerial Control Dec 1, 2022
Lifepoint Rehab LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2022 50.5%
Daniel Vogel Individual Corporate OfficerChief Executive Officer Oct 31, 2022
W-2 Managing Employee Oct 31, 2022
DSB Acquisition LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2022 50.5%
Matthew B. Schweigert Individual Corporate DirectorBoard Member Dec 1, 2022
Stacy Blankenship Individual Corporate DirectorBoard Member Dec 1, 2022
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2022 50.5%
Marcus B Poppell Individual Operational/Managerial ControlChain Home Office Administrator Dec 1, 2022
Robert Wise Individual Corporate DirectorBoard Member Apr 28, 2023
Mercy Health East Communities Organization, Saint Louis, MO For-profit 5% Or Greater Direct Ownership Interest Dec 1, 2022 49.5%
Joseph a. Fuller Individual Corporate DirectorBoard Member Dec 1, 2022
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2022 50.5%

Facilities with the same owner 110

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

View all 110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1992435895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10114 KENNERLY RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631282183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10114 KENNERLY RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631282183",
            "telephone_number": "314-525-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REHABILITATION HOSPITAL SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "ECKENFELS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "314-525-1483"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.