Organization Active NPI

Gower Convalescent Center Inc

  • Skilled Nursing Facility
  • Gower, MO
National Provider Identifier
1316937733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
032473 Issued in MO
Legal business name
GOWER CONVALESCENT CENTER INC
Practice address
323 South 169 Highway
Gower, MO 64454-0170
Phone
(816) 424-6483
Fax
(816) 424-6209
NPI assigned
Oct 26, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul E Pottier, NHA
Title
Administrator
Phone
(816) 424-6483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 032473 MO Primary

Addresses

Primary practice location

323 South 169 Highway
Gower, MO 64454-0170

Mailing address

PO Box 170
323 South 169 Highway
Gower, MO 64454-0170
Phone (816) 424-6483

Other identifiers 1

IdentifierTypeStateIssuer
26E290MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000449 MO Part A Provider - Skilled Nursing Facility 1153335583 Practice locations: Gower, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316937733. Details of each certification follow.

Skilled nursing facility certification: CCN 265800

Legal name
GOWER CONVALESCENT CENTER INC
Doing business as
GOWER CONVALESCENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2006
Last certification
Feb 21, 2025
Beds
82
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
323 S US Highway 169
Gower, MO 64454-9116
Nursing home name
GOWER CONVALESCENT CENTER, INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gower Convalescent Center, IncCCN 265800 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8269.6 residents per day on average
Penalties (3 years)
1Fines totaling $6,351

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Gower Convalescent Center Inc Organization, Gower, MO Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 3, 1967 100%
Barbara Johnson Individual Corporate OfficerTreasurer Oct 10, 2013 20%
Corporate DirectorMember of Board of Directors Oct 10, 2012 20%
Jerry Ingle Individual Corporate OfficerPresident Oct 14, 2005
Corporate DirectorMember Board of Director Feb 6, 2006 20%
Amberly Sue Moore Individual Corporate DirectorAministrator Jun 23, 2020 100%
W-2 Managing EmployeeAd; Jan 1, 2021
Adp of the SNF Jan 7, 2025
Linda Spaeth Individual Corporate Officer Jan 1, 2021
Jason Perry Individual Corporate Officer Jun 18, 2024
Charles Snyder Individual Corporate OfficerVice President Oct 10, 2012
Corporate DirectorMember Board of Directors Feb 6, 2006 20%
Natalie West Individual Corporate Officer Jun 18, 2024

Practitioners & affiliated clinicians

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": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316937733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "address_2": "323 SOUTH 169 HIGHWAY",
            "city": "GOWER",
            "state": "MO",
            "postal_code": "644540170",
            "telephone_number": "816-424-6483",
            "fax_number": "816-424-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SOUTH 169 HIGHWAY",
            "city": "GOWER",
            "state": "MO",
            "postal_code": "644540170",
            "telephone_number": "816-424-6483",
            "fax_number": "816-424-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOWER CONVALESCENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTTIER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-424-6483",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26E290",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gower, MO

Sources for this page

Verify at the official NPI Registry.