North 9TH Street Healthcare LLC

Key facts

NPI: 1992480347
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
Legal business name: NORTH 9TH STREET HEALTHCARE LLC
Practice address: 811 N 9TH St
Saint Joseph, MO 64501-1651
Phone: (816) 233-5164
NPI assigned: Jun 21, 2023
Organization subpart: No

Authorized official

Name: William Miller
Title: Authorized Person
Phone: (253) 268-2410

Owners & managing parties with NPI records 1

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

Marghoob Abbas, M.D. Internal Medicine Physician · St. Joseph, MO · NPI 1588603781

CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Practitioners 2

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

Marghoob Abbas, M.D. Internal Medicine Physician · St. Joseph, MO · NPI 1588603781

NPD (past)
Srinath Tadakamalla, M.D Geriatric Medicine (Family Medicine) Physician · Harrisonville, MO · NPI 1184691305

NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Marghoob Abbas, M.D. Internal Medicine Physician · St. Joseph, MO · NPI 1588603781

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: St Joseph Chateau CCN 265852
Overall star rating: ★★★★☆ 4 of 5
Health inspections: ★★★★☆ 4 of 5
Staffing: ★★☆☆☆ 2 of 5
Quality measures: ★★★☆☆ 3 of 5
Type: Medicare and Medicaid
Ownership: For profit - Limited Liability company
Certified: Aug 11, 2015
Medicare certification status: Active (Provider of Services file)
Certified beds: 69 · 67.8 residents per day on average
Chain: Vertical Health Services (15 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
26D0722394	North 9TH Street Healthcare LLC 811 North 9TH Street, Saint Joseph, MO 64501	Certificate of waiver	Aug 31, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MO

Skilled nursing facility certification: CCN 265852

Legal name: NORTH 9TH STREET HEALTHCARE LLC
Doing business as: ST JOSEPH CHATEAU
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Aug 11, 2015
Last certification: May 7, 2025
Beds: 69
Ownership / control type: Limited Liability Corporation
Multi-facility organization: VERTICAL HEALTH SERVICES
Most recent change of ownership: Jun 1, 2023
Organization structure: LLC · Proprietary
Enrollment address: 811 N 9TH St
Saint Joseph, MO 64501-1651
Nursing home name: ST JOSEPH CHATEAU
Affiliated entity: VERTICAL HEALTH SERVICES

All disclosed owners & managing parties 6

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
William Miller Individual	Operational/Managerial Control	Jun 1, 2023
William Miller Individual	Indirect Ownership Interest	Jun 1, 2023	100%
Marghoob Abbas Individual	Operational/Managerial Control	Jan 15, 2024
Marghoob Abbas Individual	Adp of the SNF	May 14, 2025
VHS Mo Opco Holdings LLC Organization · Puyallup, WA LLC, Holding company, For-profit, Owned by another organization or individual	Direct Ownership Interest	Jun 1, 2023	100%
North 9TH Street Consulting LLC Organization · Puyallup, WA LLC, Management services company, For-profit	Operational/Managerial Control	Jun 1, 2023
	Adp of the SNF	May 14, 2025
James Dilworth Individual	Operational/Managerial Control	Sep 9, 2024
James Dilworth Individual	Adp of the SNF	May 8, 2025
Krista Carrie Clark Individual	Operational/Managerial Control	Jun 1, 2023

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20230831002904	MO	Part a Provider - Skilled Nursing Facility	2466815881	Practice locations: Saint Joseph, MO

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X			Yes

Addresses

Primary practice location

811 N 9TH St
Saint Joseph, MO 64501-1651

Mailing address

11012 Canyon Rd E Ste 8
Puyallup, WA 98373-3002

Other names

St Joseph Chateau Doing business as

Other providers in Saint Joseph, MO

All providers in Saint Joseph, MO · Skilled Nursing Facility in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.