NPIMap

Organization Active NPI

Senior Living Management Group, LLC

  • Skilled Nursing Facility
  • Springfield, MO
National Provider Identifier
1124530290
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SENIOR LIVING MANAGEMENT GROUP, LLC
Practice address
3705 S Jefferson Ave
Springfield, MO 65807
Phone
(417) 889-0773
Fax
(417) 889-0774
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Bryan M Adams
Title
Vice-President
Phone
(501) 932-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3705 S Jefferson Ave
Springfield, MO 65807

Mailing address

824 Salem Rd Ste 210
Conway, AR 72034-4855
Phone (501) 932-0050

Other names 1

  • Birch Pointe Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171108002210 MO Part A Provider - Skilled Nursing Facility 5991061947 Practice locations: Springfield, MO

Skilled nursing facility certification: CCN 265865

Legal name
SENIOR LIVING MANAGEMENT GROUP, LLC
Doing business as
BIRCH POINTE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 28, 2017
Last certification
Feb 13, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
3705 S Jefferson Ave
Springfield, MO 65807-5880
Nursing home name
BIRCH POINTE HEALTH AND REHABILITATION
Affiliated entity
ANTHONY & BRYAN ADAMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Birch Pointe Health and RehabilitationCCN 265865
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 28, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120106.0 residents per day on average
Chain
Anthony & Bryan Adams38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2142387Birch Pointe Health and Rehabilitation3705 South Jefferson Avenue, Springfield, MO 65807Certificate of waiverJan 9, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Bryan Milburn Adams Individual 5% Or Greater Indirect Ownership InterestVice-President May 13, 2015 50%
Corporate OfficerVice President May 13, 2015
Adp of the SNF May 13, 2015
LTC Systems/RX, LLC Organization, Conway, AR LLC, Consulting firm, For-profit Adp of the SNF Dec 28, 2017
Matthew E Miller Individual Adp of the SNF May 13, 2015
Clinton Lowe Individual Operational/Managerial ControlAdministrator Jul 15, 2024 100%
Managing Control - Governing BodyFacility Administrator/Gov Body Mem Jul 15, 2024
Adp of the SNF Jul 15, 2024
First Security Bancorp Organization, Searcy, AR Corporation, Holding company, Financial institution Adp of the SNF May 13, 2015
50 Eggs, LLC Organization, Springfield, MO LLC, For-profit Adp of the SNF Jan 1, 2020
Larry M McGinnis Individual Adp of the SNF Dec 28, 2017
Pharmacy Consults, LLC Organization, Searcy, AR LLC, Consulting firm, For-profit Adp of the SNF Dec 28, 2017
Incite Rehab, LLC Organization, Conway, AR LLC, For-profit Adp of the SNF Dec 28, 2017
RHC Operations Inc Organization, Conway, AZ Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 13, 2015 100%
Rita Pedigo Individual Adp of the SNF Dec 28, 2007
Miller Commerce Assets, LLC Organization, Springfield, MO LLC, For-profit Adp of the SNF May 13, 2015
William Mainord Individual Adp of the SNF Dec 28, 2007
Martin R a Alumno Individual Operational/Managerial ControlMedical Director Aug 28, 2024
Adp of the SNF Aug 28, 2024
John Ellis Individual Adp of the SNF Dec 28, 2017
Reliance Health Care, Inc. Organization, Conway, AR Corporation, For-profit Adp of the SNF Dec 28, 2017
3B Holdings, LLC Organization, Conway, AR LLC, Holding company, For-profit Adp of the SNF May 13, 2015
Tobey Koehler Individual Adp of the SNF Dec 28, 2017
Nora Dvorak Individual Corporate DirectorDirector of Facility Operations Jan 1, 2017
Managing Control - Governing BodyDir of Facility Operations/Gov Body Dec 28, 2017
Adp of the SNF Dec 28, 2017
Primrose Senior Living, LLC Organization, Conway, AR LLC, For-profit Adp of the SNF May 13, 2015
Anthony Brandon Adams Individual 5% Or Greater Indirect Ownership InterestPresident May 13, 2015 50%
Corporate OfficerPresident May 13, 2015
Adp of the SNF May 13, 2015
Jesse a Scroggins Individual Managing Control - Governing BodyDir of Facility Operations/Gov Body Aug 28, 2024
Adp of the SNF Aug 28, 2024
First Security Bank Organization, Conway, AR Financial institution, For-profit Adp of the SNF May 13, 2015

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 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 2

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": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1124530290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 SALEM RD STE 210",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344855",
            "telephone_number": "501-932-0050",
            "fax_number": "501-932-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 S JEFFERSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-889-0773",
            "fax_number": "417-889-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birch Pointe Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.