NPIMap

Organization Active NPI

Woodland Manor of Arnold LLC

  • Skilled Nursing Facility
  • Arnold, MO
National Provider Identifier
1245391507
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WOODLAND MANOR OF ARNOLD LLC
Practice address
100 Woodland MNR
Arnold, MO 63010-2030
Phone
(636) 296-1400
NPI assigned
Dec 12, 2006
Last updated
Jun 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Greg Spence
Title
Cfo
Phone
(636) 349-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Woodland MNR
Arnold, MO 63010-2030

Mailing address

1749 Gilsinn LN
Fenton, MO 63026-2003
Phone (636) 349-2311

Other identifiers 1

IdentifierTypeStateIssuer
102376407MedicaidMO

Other names 1

  • Woodland Manor Nursing Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070328000693 MO Part A Provider - Skilled Nursing Facility 6901900158 Practice locations: Arnold, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245391507. Details of each certification follow.

Skilled nursing facility certification: CCN 265324

Legal name
WOODLAND MANOR OF ARNOLD LLC
Doing business as
WOODLAND MANOR NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 31, 1988
Last certification
Dec 6, 2024
Beds
178
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
100 Woodland MNR
Arnold, MO 63010-2030
Nursing home name
WOODLAND MANOR NURSING CENTER
Affiliated entity
RILEY SPENCE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodland Manor Nursing CenterCCN 265324 · All quality measures
Overall star rating
2 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 31, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
178124.1 residents per day on average
Chain
Riley Spence Senior Living5 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
26D0436799Woodland Manor of Arnold LLC100 Woodland Court, Arnold, MO 63010Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Iqbal I Amin Individual Contracted Managing EmployeeMD; Jul 1, 2019
Adp of the SNF Jan 3, 2025
Charles J Riley Individual Corporate OfficerCeo Jan 1, 2007 45%
Riley Spence Management Company, LLC Organization, Fenton, MO LLC Operational/Managerial Control Dec 20, 2024
Adp of the SNF Jan 3, 2025
Daniel Spence Individual W-2 Managing EmployeeAd; Jul 1, 2024 100%
Adp of the SNF Jan 3, 2025
Mid America Health Care LP Organization, Fenton, MO 5% Or Greater Direct Ownership Interest Jan 1, 2007 100%
Gregory S Spence Individual Corporate OfficerChief Financial Officer Jan 1, 2007 55%

Owners & managing parties with NPI records 1

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

  • Iqbal Amin, M.D.
    • Geriatric Medicine (Internal Medicine) Physician
    • Saint Louis, MO
    • NPI 1184619835

    Adp of the SNF, Contracted Managing Employee

    CMS ownership

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 6

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.

Affiliated clinicians 1

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1245391507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 GILSINN LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262003",
            "telephone_number": "636-349-2311",
            "fax_number": "636-349-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODLAND MNR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102030",
            "telephone_number": "636-296-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND MANOR OF ARNOLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "636-349-2311"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102376407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Manor Nursing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.