Ebg Health Care III, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031859 Issued in MO

Legal business name

EBG HEALTH CARE III, INC.

Practice address

1347 E Valley Watermill Road
Springfield, MO 65803

Phone

(417) 833-1220

Fax

(417) 833-5979

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carol L Gourley

Title

Chief Financial Officer

Phone

(417) 869-5522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodland Manor Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265749

Legal name

EBG HEALTH CARE III INC

Doing business as

WOODLAND MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 27, 2002

Last certification

Oct 20, 2023

Beds

94

Ownership / control type

Individual

Organization structure

CorporationProprietary

Incorporated

Apr 10, 1989 in MO

Enrollment address

1347 E Valley Water Mill Rd
Springfield, MO 65803-3739

Nursing home name

WOODLAND CARE & REHAB CENTER

Listed as

Woodland Care & Rehab CenterCCN 265749

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Dec 27, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9486.3 residents per day on average

Penalties (3 years)

2Fines totaling $0

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

Locations

All disclosed owners & managing parties 3

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

Practitioners 2

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

• Eric B Hines, MD

  • Family Medicine Physician
  • Sparta, MO
  • NPI 1689289282
  NPD (past)
• Charles Kevin Watt, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Rogersville, MO
  • NPI 1134124324
  NPD (past)

Affiliated clinicians 2

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

• Eric B Hines, MD

  • Family Medicine Physician
  • Sparta, MO
  • NPI 1689289282

  Nursing home

  Care Compare affiliation
• Charles Kevin Watt, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Rogersville, MO
  • NPI 1134124324

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1164467445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E TRAFFICWAY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023174",
            "telephone_number": "417-869-5522",
            "fax_number": "417-831-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 E VALLEY WATERMILL ROAD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65803",
            "telephone_number": "417-833-1220",
            "fax_number": "417-833-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBG HEALTH CARE III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "GOURLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "417-869-5522",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101492502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Easy Living Inc.
• Easy Living Inc.
• Easy Living Inc.
• Abby L Eaton, LCSW
• Justin Lee Ebert, ATC
• Joseph M. Eccher, M.D.
• Rajab Echessa
• Sonja Rachael Eckert, M.S., CCC-SLP
• Jean Marie Eckhardt, PLCSW
• Linsey Eckles, OTR/L

• Skilled Nursing Facility in Springfield, MO
• Providers in Springfield, 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 Jan 20, 2009; 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.