Gower Convalescent Center Inc
Organization Active NPI Skilled Nursing Facility · Gower, MO
NPI 1316937733 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1316937733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 032473 (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
- Organization subpart
- No
Authorized official
- Name
- Paul E Pottier, NHA
- Title
- Administrator
- Phone
- (816) 424-6483
Affiliated clinicians 1
-
Jane Anne Bell, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Gower Convalescent Center, Inc
- 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
- Active
- Certified beds
- 82 · 69.6 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $6,351
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
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
- Corporation · Non-profit
- Enrollment address
- 323 S US Highway 169
Gower, MO 64454-9116 - Nursing home name
- GOWER CONVALESCENT CENTER, INC
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Gower Convalescent Center Inc |
5% Or Greater Direct Ownership Interest | Aug 3, 1967 | 100% |
| Barbara Johnson |
Corporate Officer |
Oct 10, 2013 | 20% |
| Corporate Director |
Oct 10, 2012 | 20% | |
| Jerry Ingle |
Corporate Officer |
Oct 14, 2005 | |
| Corporate Director |
Feb 6, 2006 | 20% | |
| Amberly Sue Moore |
Corporate Director |
Jun 23, 2020 | 100% |
| W-2 Managing Employee |
Jan 1, 2021 | ||
| Adp of the SNF | Jan 7, 2025 | ||
| Linda Spaeth |
Corporate Officer | Jan 1, 2021 | |
| Jason Perry |
Corporate Officer | Jun 18, 2024 | |
| Charles Snyder |
Corporate Officer |
Oct 10, 2012 | |
| Corporate Director |
Feb 6, 2006 | 20% | |
| Natalie West |
Corporate Officer | Jun 18, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060206000449 | MO | Part a Provider - Skilled Nursing Facility | 1153335583 | Practice locations: Gower, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 032473 | MO | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26E290 | Medicaid | MO |
Other providers in Gower, MO
- Joellen Aviles
- Steven D. Brushwood
- East Buchanan C-I School District
- Abigail Elyse Filley
- Golden Age Footcare
- Gower Dental Care, LLC
- Gower Family Care Center PC
- Northwest Health Services, Inc
- Northwest Health Services, Inc.
- Linsey Pflugradt
All providers in Gower, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.