Joplin No 10 LLC
Organization Active NPI Skilled Nursing Facility · Joplin, MO
NPI 1023040029 · NPPES record last updated Apr 17, 2019
Key facts
- NPI
- 1023040029
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- JOPLIN NO 10 LLC
- Practice address
- 3130 John Duffy Drive
Joplin, MO 64804-1569 - Phone
- (417) 553-3688
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald B Bedell
- Title
- President
- Phone
- (573) 471-1276
Owners & managing parties with NPI records 2
-
John J Cascone, M.D.
Facilities with the same owner 41
Practitioners 1
-
John J Cascone, M.D.
Affiliated clinicians 1
-
John J Cascone, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Westgate
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jul 16, 2019
- Medicare certification status
- Active
- Certified beds
- 120 · 105.2 residents per day on average
- Chain
- Circle B Enterprises
- Penalties (3 years)
- 1 · fines totaling $70,134
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2167708 | Joplin No #10 LLC Dba Westgate | Certificate of waiver | Jun 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265877
- Legal name
- JOPLIN NO 10 LLC
- Doing business as
- WESTGATE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 16, 2019
- Last certification
- Jun 7, 2024
- Beds
- 120
- Ownership / control type
- Individual
- Organization structure
- LLC · Proprietary
- Enrollment address
- 3130 John Duffy Dr
Joplin, MO 64804-1675 - Nursing home name
- WESTGATE
- Affiliated entity
- CIRCLE B ENTERPRISES
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Misty D Caldwell |
Operational/Managerial Control | Mar 10, 2022 | |
| Adp of the SNF | Mar 10, 2022 | ||
| Sovereign Healthcare Group LLC |
Operational/Managerial Control | Apr 23, 2021 | |
| Adp of the SNF | Apr 6, 2025 | ||
| FG LLC |
Adp of the SNF | Jul 16, 2019 | |
| Mid States Inc |
Adp of the SNF | Jul 16, 2019 | |
| John J Cascone |
Operational/Managerial Control | Jun 10, 2019 | |
| Adp of the SNF | Jun 10, 2019 | ||
| Circle B Enterprises Holding Company Inc |
5% Or Greater Direct Ownership Interest | Jan 10, 2000 | 100% |
| Todd Beaird |
Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Donald B Bedell |
Operational/Managerial Control | Jan 10, 2000 | |
| Joplin Development Properties II LLC |
Adp of the SNF | Jun 1, 2021 | |
| DCB Real Estate Partnership LP |
Adp of the SNF | Apr 1, 2005 | |
| Forvis Mazars LLP |
Adp of the SNF | Aug 16, 2021 | |
| |
Adp of the SNF | Mar 31, 2025 | |
| Agh1 LLC |
Operational/Managerial Control | Jul 16, 2019 | |
| Adp of the SNF | Apr 11, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190725003925 | MO | Part a Provider - Skilled Nursing Facility | 4789629148 | Practice locations: Joplin, MO |
National Provider Directory
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
3130 John Duffy Drive
Joplin, MO 64804-1569
Mailing address
PO Box 1210
Sikeston, MO 63801-1210
Other names
- Westgate
Other providers in Joplin, MO
- Joplin Disc and Pain Solutions
- Joplin Eye Laser Center Inc
- Joplin Internal Medicine Clinic
- Joplin Mo Caregiving LLC
- Joplin Neurosurgical Assoc., Inc.
- Joplin Ophthalmology -W R Meredi
- Joplin Oral Surgery PC
- Joplin Pain Care Group LLC
- Joplin Pathology Professionals PC
- Joplin Pharmacy Associates
All providers in Joplin, 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 Apr 17, 2019. 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.