Active NPI
Gower Convalescent Center Inc
- Skilled Nursing Facility
- Gower, MO
National Provider Identifier
1316937733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 032473
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26E290 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 1, 2006
- Medicare certification status
- Active
- Certified beds
- 82
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & 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.
| 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 |
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
- Joellen Aviles
- Steven D. Brushwood, DO
- East Buchanan C-I School District
- Abigail Elyse Filley, PTA
- Golden Age Footcare
- Gower Dental Care, LLC
- Gower Family Care Center PC
- Northwest Health Services, Inc (Gower Family Medicine)
- Northwest Health Services, Inc. (Gower Family Pharmacy)
- Linsey Pflugradt, APRN FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.