Truman Lake Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TRUMAN LAKE MANOR, INC.

Practice address

600 E. 7TH Street
Lowry City, MO 64763

Phone

(417) 644-2248

Fax

(417) 544-2742

NPI assigned

Jul 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Lee Harris

Title

Administrator

Phone

(417) 644-2248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114959954. Details of each certification follow.

• CCN 265431 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265431

Legal name

TRUMAN LAKE MANOR, INC.

Doing business as

TRUMAN LAKE MANOR INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1990

Last certification

Mar 21, 2024

Beds

120

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

600 E 7TH St
Lowry City, MO 64763-9671

Nursing home name

TRUMAN LAKE MANOR INC

Listed as

Truman Lake Manor IncCCN 265431 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12065.4 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Mark P Snell, D.O.

  • Family Medicine Physician
  • Clinton, MO
  • NPI 1427025600

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 5

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.

• William Robert Dailey, MD

  • Family Medicine Physician
  • Osceola, MO
  • NPI 1558466458
  NPD (past)
• Michael C Frier, O.D.

  • Optometrist
  • El Dorado Springs, MO
  • NPI 1154320810
  NPD (past)
• Manik Mehra, M.D.

  • Family Medicine Physician
  • Clinton, MO
  • NPI 1760745970
  NPD (past)
• Mark P Snell, D.O.

  • Family Medicine Physician
  • Clinton, MO
  • NPI 1427025600
  NPD (past)
• Wesley Max Ledom, PH.D.

  • Clinical Psychologist
  • Prairie Village, KS
  • NPI 1346374824
  NPD (past)

Affiliated clinicians 4

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

• Brendan Bagley, M.D.

  • Family Medicine Physician
  • Clinton, MO
  • NPI 1043258650

  Nursing home

  Care Compare affiliation
• William Robert Dailey, MD

  • Family Medicine Physician
  • Osceola, MO
  • NPI 1558466458

  Nursing home

  Care Compare affiliation
• Manik Mehra, M.D.

  • Family Medicine Physician
  • Clinton, MO
  • NPI 1760745970

  Nursing home

  Care Compare affiliation
• Mark P Snell, D.O.

  • Family Medicine Physician
  • Clinton, MO
  • NPI 1427025600

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114959954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "LOWRY CITY",
            "state": "MO",
            "postal_code": "647630415",
            "telephone_number": "417-644-2248",
            "fax_number": "417-644-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E. 7TH STREET",
            "city": "LOWRY CITY",
            "state": "MO",
            "postal_code": "64763",
            "telephone_number": "417-644-2248",
            "fax_number": "417-544-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMAN LAKE MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-644-2248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Beth Martin, CDS MANAGER
• Amanda Nichole McKiernan, PTA
• Oakheart Therapy, PLLC
• Marilyn J Richardson, PTA
• Jennifer Jo Stephens

• Skilled Nursing Facility in Lowry City, MO
• Providers in Lowry City, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (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.