Organization Active NPI

Bel Oak of Country View LLC

Doing business as Country View Nursing

  • Skilled Nursing Facility
  • Bowling Green, MO
National Provider Identifier
1003644733
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEL OAK OF COUNTRY VIEW LLC
Doing business as
Country View Nursing
Practice address
2106 W Main St
Bowling Green, MO 63334-1049
Phone
(636) 394-3000
NPI assigned
Jul 24, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Mr. Craig Weiner
Title
Manager
Phone
(636) 394-3000

Specialties & licenses 1

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

Addresses

Primary practice location

2106 W Main St
Bowling Green, MO 63334-1049

Mailing address

437 Sovereign CT
Ballwin, MO 63011-4432
Phone (636) 394-3000

Other names 1

  • Country View Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241213000341 MO Part A Provider - Skilled Nursing Facility 7214463249 Practice locations: Bowling Green, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003644733. Details of each certification follow.

Skilled nursing facility certification: CCN 265419

Legal name
BEL OAK OF COUNTRY VIEW LLC
Doing business as
COUNTRY VIEW NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 6, 1990
Last certification
Dec 7, 2023
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Bel Oak LLC
Organization structure
LLCProprietary
Enrollment address
2106 W Main St
Bowling Green, MO 63334-1049
Nursing home name
COUNTRY VIEW NURSING
Affiliated entity
COMMUNITY CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Country View NursingCCN 265419 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 6, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6039.6 residents per day on average
Chain
Community Care Centers8 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $192,533

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

2106 W Main St
Bowling Green, MO 63334
Phone (573) 324-2216

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
First Mid Bank & Trust NA Organization, O Fallon, MO Financial institution Adp of the SNF Dec 13, 2024
Craig Weiner Individual 5% Or Greater Direct Ownership Interest Jun 1, 2024 50%
Manuel L San Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
GC Asset Holding LLC Organization, Ballwin, MO Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2024
Adp of the SNF Dec 13, 2024
GC of Country View LLC Organization, Ballwin, MO Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Jun 1, 2024 60%
Adp of the SNF Dec 13, 2024
Country Life Acres GMW GST Non-Exempt Trust Organization, Ballwin, MO 5% Or Greater Mortgage Interest Jun 1, 2024 60%
Adp of the SNF Dec 13, 2024
Gina Weiner Individual 5% Or Greater Direct Ownership Interest Jun 1, 2024 50%
Organization, Springfield, MO Consulting firm Adp of the SNF Dec 13, 2024
Kimberly Harris Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Dec 13, 2024
GC Asset Management LLC Organization, Ballwin, MO LLC, Management services company Operational/Managerial Control Jun 1, 2024
Adp of the SNF Dec 13, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1003644733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 SOVEREIGN CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114432",
            "telephone_number": "636-394-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 W MAIN ST",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633341049",
            "telephone_number": "636-394-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL OAK OF COUNTRY VIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-394-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country View Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, MO

Sources for this page

Verify at the official NPI Registry.