NPIMap

Organization Active NPI

Willow Health Care Inc

Doing business as Ozark Riverview Manor

  • Skilled Nursing Facility
  • Ozark, MO
National Provider Identifier
1225408420
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
042370 Issued in MO
Legal business name
WILLOW HEALTH CARE INC
Doing business as
Ozark Riverview Manor
Practice address
1200 W Hall St
Ozark, MO 65721-9103
Phone
(417) 581-6025
Fax
(417) 581-4652
NPI assigned
Sep 30, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLOW HEALTH CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Sherry Miller
Title
Fco
Phone
(417) 469-0204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 042370 MO Primary

Addresses

Primary practice location

1200 W Hall St
Ozark, MO 65721-9103

Mailing address

PO Box 157
1200 West Hall Street
Ozark, MO 65721-0157
Phone (417) 581-6025

Other identifiers 1

IdentifierTypeStateIssuer
103060505MedicaidMO

Other names 1

  • Ozark Riverview Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151231001693 MO Part A Provider - Skilled Nursing Facility 2062401466 Practice locations: Ozark, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225408420. Details of each certification follow.

Skilled nursing facility certification: CCN 265464

Legal name
WILLOW HEALTH CARE INC
Doing business as
OZARK RIVERVIEW MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 5, 1991
Last certification
Feb 26, 2024
Beds
90
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Willow Health Care Inc.
Organization structure
CorporationNon-profit
Incorporated
Jan 11, 1978 in MO
Enrollment address
1200 West Hall Street
Ozark, MO 65721-9103
Nursing home name
OZARK RIVERVIEW MANOR

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ozark Riverview ManorCCN 265464 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 5, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9079.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Westwood Home Care11 organizations share this tax ID, including this one
Part of
Westwood Home Care

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Tracey Amyx Individual Corporate OfficerCfo Nov 5, 2022
W-2 Managing EmployeeCfo Nov 5, 2022
Willow Health Care Inc Organization, Willow Springs, MO Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2015 100%
Operational/Managerial Control Oct 1, 2015 100%
Emily Counts Individual Corporate OfficerCeo Jan 1, 2023
W-2 Managing EmployeeCeo Jan 1, 2023
Jackie Williamson Individual W-2 Managing EmployeeMedicare Billing Manager Oct 1, 2015

Owners & managing parties with NPI records 6

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

  • Willow Health Care Inc

    dba Copper Rock Healthcare

    • Skilled Nursing Facility
    • Rogersville, MO
    • NPI 1184276982

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Willow Health Care Inc

    dba Westwood Rural Health Clinic

    • Rural Health Clinic/Center
    • Willow Springs, MO
    • NPI 1184625782

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Willow Health Care Inc

    dba Mountain View Healthcare

    • Skilled Nursing Facility
    • Mountain View, MO
    • NPI 1255332086

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Willow Health Care Inc

    dba Brooke Haven Health Care

    • Skilled Nursing Facility
    • West Plains, MO
    • NPI 1306847108

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Willow Health Care Inc

    dba Westwood Home Health

    • Home Health Agency
    • Willow Springs, MO
    • NPI 1366443913

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Willow Health Care Inc

    dba Willow Health Care

    • Skilled Nursing Facility
    • Willow Springs, MO
    • NPI 1952302788

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brooke Haven HealthcareWest Plains, MO, CCN 265400 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2003
Nov 1, 2003
Mountain View HealthcareMountain View, MO, CCN 265412 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 22, 2009
Willow Care Nursing HomeWillow Springs, MO, CCN 265335 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 2, 2009
Westwood Home HealthWillow Springs, MO, CCN 267505 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 2, 2009
Westwood Rural Health ClinicWillow Springs, MO, CCN 793860 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 2, 2009

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1225408420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "address_2": "1200 WEST HALL STREET",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657210157",
            "telephone_number": "417-581-6025",
            "fax_number": "417-581-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W HALL ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219103",
            "telephone_number": "417-581-6025",
            "fax_number": "417-581-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HEALTH CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOW HEALTH CARE INC",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "FCO",
        "authorized_official_telephone_number": "417-469-0204"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "042370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103060505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Riverview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, MO

Sources for this page

Verify at the official NPI Registry.