ST. PAUL'S HOME
NPI 1710973284
Nursing Facility/Intermediate Care Facility in Belleville, IL

Q: What is the provider's specialty?

The provider's specialty is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since September 21, 2005CLIA 14D0434027 · Waiver

2/5

Overall Rating

1021 W E ST, BELLEVILLE, IL 62220(618) 233-2095(618) 233-2109 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2020, Mar 11, 2020 (2 updates tracked since 2020).

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About St. Paul's Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. PAUL'S HOME (NPI 1710973284) is a healthcare organization registered as a nursing facility/intermediate care facility in Belleville, Illinois and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Elizabeth Ann Papin, Medicare Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1710973284

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameST PAULS SENIOR COMMUNITY LLC

Location Address1021 W E STBelleville, IL 62220-1055

Mailing Address1021 W E StBelleville, IL 62220-1055 · (618) 233-2095 · Fax (618) 233-2109

Phone(618) 233-2095

Fax(618) 233-2109

Organization SubpartNo

Authorized OfficialElizabeth Ann PapinMedicare Billing Specialist · (636) 222-0060

Enumeration DateSeptember 21, 2005

Last NPPES UpdateMay 14, 20202 updates tracked since enumeration

NPPES CertifiedMay 14, 2020

✔ NPI 1710973284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in IL · 0013920

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

1021 W E ST, Belleville, IL 62220

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Other Names 1

Doing Business AsSt. Paul's Home

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0434027

St Paul's Home For The Aged · Belleville, IL

Active · expires Jul 10, 2027

CLIA Number14D0434027

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJuly 11, 2025

Certificate Expiration DateJuly 10, 2027

Laboratory DirectorPam Woodward

Laboratory Phone(618) 233-2095

Laboratory LocationSt Paul's Home For The Aged1021 West E Street, Belleville, IL 62220

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for St Paul's Senior Community (CMS certification number 146122), from CMS Care Compare.

St Paul's Senior Community

Nursing home · Belleville, IL

2/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number146122

Certified Beds108 beds96 residents per day on average

Medicare & Medicaid Participant SinceJune 23, 2008

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

2/5

Staffing

Based on nursing staff hours relative to resident needs.

2/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

175.67

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.34 · LPN 1.12 · RN 0.48

3.94 hrs per resident per day

Weekend Nurse Staffing

3.52 hrs per resident per day

Physical Therapist Staffing

0.06 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

71.4%

Registered Nurse Turnover

66.7%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.

Facility-Reported Incidents

Substantiated Complaints

Fines

7 totaling $201,917.61

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CEP AMERICA - ILLINOIS SNF, LLP

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