NPIMap

Organization Active NPI

Willow Health Care Inc

Doing business as Brooke Haven Health Care

  • Skilled Nursing Facility
  • West Plains, MO
National Provider Identifier
1306847108
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
036773 Issued in MO
Legal business name
WILLOW HEALTH CARE INC
Doing business as
Brooke Haven Health Care
Practice address
1410 N Kentucky Ave
West Plains, MO 65775-1822
Phone
(417) 256-7975
Fax
(417) 469-3443
NPI assigned
Aug 3, 2005
Last updated
Dec 18, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLOW HEALTH CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Mrs. Sherry Miller, CPA
Title
Chief Financial Officer
Phone
(417) 469-3152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031482 MO
Skilled Nursing Facility 314000000X 036773 MO Primary

Addresses

Primary practice location

1410 N Kentucky Ave
West Plains, MO 65775-1822

Mailing address

PO Box 309
Willow Springs, MO 65793
Phone (417) 469-3152

Other identifiers 1

IdentifierTypeStateIssuer
101763100MedicaidMO

Other names 1

  • Brooke Haven Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511000398 MO Part A Provider - Skilled Nursing Facility 2062401466 Practice locations: West Plains, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306847108. Details of each certification follow.

Skilled nursing facility certification: CCN 265400

Legal name
WILLOW HEALTH CARE INC
Doing business as
BROOKE HAVEN HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 2, 1989
Last certification
Dec 6, 2024
Beds
120
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Willow Health Care Inc
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1978 in MO
Enrollment address
1410 N Kentucky Ave
West Plains, MO 65775-1822
Nursing home name
BROOKE HAVEN HEALTHCARE

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
Brooke Haven HealthcareCCN 265400 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 2, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12061.1 residents per day on average
Penalties (3 years)
1Fines totaling $10,033

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
26D0447492Willow Health Care Dba Brooke Haven Healthcare1410 Kentucky Ave, West Plains, MO 65775Certificate of waiverAug 31, 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 7

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

NameRoleSinceShare
Willow Health Care Inc Organization, Willow Springs, MO Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2003 100%
Operational/Managerial Control Nov 1, 2003 100%
James Ogden Individual Corporate Director May 11, 2004
Jackie Williamson Individual W-2 Managing Employee Oct 14, 2009
Shirley Alter Individual Corporate DirectorCeo Jul 2, 2019 100%
W-2 Managing EmployeeCeo Jul 2, 2019 100%
Sherry Miller Individual Corporate OfficerChief Financial Officer Sep 1, 2009
W-2 Managing Employee Sep 1, 2009
Elquin Auala Individual Corporate Director May 11, 2004
Sheila Clark Individual W-2 Managing Employee Dec 1, 2010

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 Ozark Riverview Manor

    • Skilled Nursing Facility
    • Ozark, MO
    • NPI 1225408420

    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 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
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
Ozark Riverview ManorOzark, MO, CCN 265464 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2015
Oct 1, 2015
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 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.

Affiliated clinicians 3

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": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1306847108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "65793",
            "telephone_number": "417-469-3152",
            "fax_number": "417-469-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751822",
            "telephone_number": "417-256-7975",
            "fax_number": "417-469-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HEALTH CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOW HEALTH CARE INC",
        "enumeration_date": "2005-08-03",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "417-469-3152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031482",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "036773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101763100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooke Haven Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.