Boonville No 1 Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

046405 Issued in MO

Legal business name

BOONVILLE NO 1 INC

Doing business as

Lakeview Health Care & Rehabilitation Center

Practice address

1450 W Ashley Rd
Boonville, MO 65233

Phone

(660) 882-7007

NPI assigned

Jul 7, 2006

Last updated

Jun 19, 2018By 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

Donald B Bedell

Title

President

Phone

(573) 471-1276

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeview Health Care & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295767275. Details of each certification follow.

• CCN 265522 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265522

Legal name

BOONVILLE NO 1 INC

Doing business as

LAKEVIEW HEALTH CARE & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 8, 1993

Last certification

Sep 12, 2024

Beds

79 (59 certified)

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Avant Garde

Organization structure

CorporationProprietary

Enrollment address

1450 W Ashley Rd
Boonville, MO 65233-2141

Nursing home name

LAKEVIEW HEALTH CARE & REHABILITATION CENTER

Affiliated entity

CIRCLE B ENTERPRISES

Listed as

Lakeview Health Care & Rehabilitation CenterCCN 265522 · 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

Jan 8, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5944.0 residents per day on average

Chain

Circle B Enterprises36 facilities in the chain

Penalties (3 years)

1Fines totaling $49,335

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 17

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 2

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

• Eric A. Barnes, D.O.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1619952520

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Sovereign Healthcare Group, LLC

  • Home Health Agency
  • New Madrid, MO
  • NPI 1447821418

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 41

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

• Ava No 1 Inc

  • Skilled Nursing Facility
  • Ava, MO
  • NPI 1518999515

  Agh1 LLC, Sovereign Healthcare Group LLC

  CMS ownership
• Boonville No2 Inc

  dba Riverdell Care Center

  • Skilled Nursing Facility
  • Boonville, MO
  • NPI 1740212760

  Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC

  CMS ownership
• Cameron No 1 Inc

  dba Quail Run Health Care Center

  • Skilled Nursing Facility
  • Cameron, MO
  • NPI 1194757112

  Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC

  CMS ownership
• Cape Girardeau I Inc

  dba Heartland Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Cape Girardeau, MO
  • NPI 1649202623

  Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC

  CMS ownership
• Caruthersville No 1 Inc

  dba Southgate Living Center

  • Skilled Nursing Facility
  • Caruthersville, MO
  • NPI 1457708018

  Agh1 LLC, Sovereign Healthcare Group LLC

  CMS ownership
• Clinton No 1 Inc

  • Skilled Nursing Facility
  • Clinton, MO
  • NPI 1033141015

  Agh1 LLC, Sovereign Healthcare Group LLC

  CMS ownership
• Clinton No 2 Inc

  dba Adair Village

  • Skilled Nursing Facility
  • Clinton, MO
  • NPI 1548913288

  Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC

  CMS ownership
• Collins Acres Care Center Inc

  dba Sikeston Convalescent Center

  • Skilled Nursing Facility
  • Sikeston, MO
  • NPI 1912939976

  Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC

  CMS ownership
• Delhaven Manor No 2 Inc

  dba Delhaven Manor

  • Skilled Nursing Facility
  • Saint Louis, MO
  • NPI 1750313730

  Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC

  CMS ownership
• Ellington 1 Inc

  dba Brent B Tinnin Manor

  • Skilled Nursing Facility
  • Ellington, MO
  • NPI 1629000690

  Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC

  CMS ownership
• Excelsior Spring 1 Inc

  dba Valley Manor & Rehabilitation Center

  • Skilled Nursing Facility
  • Excelsior Springs, MO
  • NPI 1265464234

  Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC

  CMS ownership
• Granby No 1 Inc

  dba Granby House

  • Skilled Nursing Facility
  • Granby, MO
  • NPI 1073545067

  Agh1 LLC, Circle B Enterprises Holding Company Inc, Sovereign Healthcare Group LLC

  CMS ownership

Practitioners 4

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.

• Eric A. Barnes, D.O.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1619952520
  NPD (past)
• Jolie Rae Chance, D.O.

  • Family Medicine Physician
  • Harrisonville, MO
  • NPI 1174754832
  NPD (past)
• Catherine M Vanvoorn, M.D.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1720054448
  NPD (past)
• Alicia Marie Bean, M.D.

  • Family Medicine Physician
  • Russell, KS
  • NPI 1972629749
  NPD (past)

Affiliated clinicians 2

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

• Jolie Rae Chance, D.O.

  • Family Medicine Physician
  • Harrisonville, MO
  • NPI 1174754832

  Nursing home

  Care Compare affiliation
• Alicia Marie Bean, M.D.

  • Family Medicine Physician
  • Russell, KS
  • NPI 1972629749

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1295767275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011210",
            "telephone_number": "573-471-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W ASHLEY RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "65233",
            "telephone_number": "660-882-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONVILLE NO 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-471-1276"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "046405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101777001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Health Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeview Health Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeff Birdsong, O.D.
• Brad Lee Boerio, R.PH.
• Shauna Lea Bohlken, APRN-CNP
• Boone Physician Services LLC (Boone Health Primary Care - Boonville)
• Boonville Chiropractic LLC
• Boonville No2 Inc (Riverdell Care Center)
• Boonville Residential LLC (Hartmann Village)
• Jane Brengarth
• Bristol Care, Inc
• Mona L Brownfield, M.D.

• Skilled Nursing Facility in Boonville, MO
• Providers in Boonville, 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 Jun 19, 2018; 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.