Citizens Memorial Health Care Foundation
Organization Active NPI Skilled Nursing Facility · Buffalo, MO
NPI 1346229481 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1346229481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 029574 (MO)
- Legal business name
- CITIZENS MEMORIAL HEALTH CARE FOUNDATION
- Practice address
- 750 W Cooper St
Buffalo, MO 65622-8662 - Phone
- (417) 345-2228
- Fax
- (417) 345-8674
- NPI assigned
- Jan 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Renee Marie Meyer
- Title
- Director of Finance
- Phone
- (417) 328-6258
Owners & managing parties with NPI records 3
-
Dana M Meents, M.D.
-
Kendika Abrams, MD
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 13
Practitioners 3
-
Kurt Russell Bravata, M.D.
-
George W Mathews, DO
-
Kendika Abrams, MD
Affiliated clinicians 5
-
Pamela Kepus, ARNP
-
Megan Jane Manthe, M.D.
-
Chad Nall, P.A.
-
Kendika Abrams, MD
Medicare Care Compare: Nursing home
- Listed as
- Colonial Springs Healthcare Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 8, 1984
- Medicare certification status
- Active
- Certified beds
- 134 · 110.6 residents per day on average
- Chain
- Citizens Memorial Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265245
- Legal name
- CITIZENS MEMORIAL HEALTH CARE FOUNDATION
- Doing business as
- COLONIAL SPRINGS HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 8, 1984
- Last certification
- Dec 6, 2024
- Beds
- 134
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- CITIZENS MEMORIAL HOSPITAL
- Organization structure
- Other · Non-profit
- Incorporated
- Sep 24, 1986 in MO
- Enrollment address
- 750 W Cooper St
Buffalo, MO 65622-8662 - Nursing home name
- COLONIAL SPRINGS HEALTHCARE CENTER
- Affiliated entity
- CITIZENS MEMORIAL HEALTH CARE
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Tim W Francka |
Operational/Managerial Control | Feb 18, 2024 | |
| Adp of the SNF | Feb 18, 2024 | ||
| Heather Finnell |
Operational/Managerial Control | Jan 5, 2020 | |
| Adp of the SNF | Nov 21, 2021 | ||
| Michael Calhoun |
Operational/Managerial Control | Jan 2, 2022 | |
| Managing Control - Governing Body |
Jan 2, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Gary D Fulbright |
Operational/Managerial Control | Mar 17, 2022 | |
| Managing Control - Governing Body |
Mar 17, 2022 | ||
| Adp of the SNF | Mar 17, 2022 | ||
| John Kallenbach |
Operational/Managerial Control | Jun 20, 2019 | |
| Managing Control - Governing Body |
Jun 20, 2019 | ||
| Adp of the SNF | Jun 20, 2019 | ||
| Kenneth R Smith |
Operational/Managerial Control | Mar 30, 2023 | |
| Managing Control - Governing Body |
Mar 30, 2023 | ||
| Adp of the SNF | Mar 30, 2023 | ||
| Janieca Lynn Hancock |
Operational/Managerial Control | Mar 15, 2018 | |
| Managing Control - Governing Body |
Mar 15, 2018 | ||
| Adp of the SNF | Mar 15, 2018 | ||
| James Ashworth |
Operational/Managerial Control | Jun 17, 2021 | |
| Managing Control - Governing Body |
Jun 17, 2021 | ||
| Adp of the SNF | Jun 17, 2021 | ||
| D Christy Kowiti |
Operational/Managerial Control | Oct 27, 2024 | |
| Adp of the SNF | Oct 27, 2024 | ||
| Forvis Mazars LLP |
Adp of the SNF | Jun 27, 2024 | |
| Sarah L Hanak |
Operational/Managerial Control | Jan 5, 2020 | |
| Adp of the SNF | Jan 5, 2020 | ||
| Eran T Dawson |
Managing Control - Governing Body |
Apr 1, 2022 | |
| Renee M Meyer |
Operational/Managerial Control | Jan 12, 2020 | |
| Managing Control - Governing Body |
Jan 1, 2022 | ||
| Adp of the SNF | Jan 12, 2020 | ||
| Roy G Pace |
Operational/Managerial Control | Feb 12, 2024 | |
| Adp of the SNF | Feb 12, 2024 | ||
| Katrina S Banner |
Operational/Managerial Control | Nov 17, 2022 | |
| Managing Control - Governing Body |
Nov 17, 2022 | ||
| Adp of the SNF | Nov 17, 2022 | ||
| Donald J Babb |
Operational/Managerial Control | Sep 24, 1986 | |
| Managing Control - Governing Body |
Sep 24, 1986 | ||
| Adp of the SNF | Sep 24, 1986 | ||
| Dana M Meents |
Operational/Managerial Control | Oct 14, 2010 | |
| Managing Control - Governing Body |
Oct 14, 2010 | ||
| Adp of the SNF | Oct 14, 2010 | ||
| Kendika TS Abrams |
Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Sep 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100115000906 | MO | Part a Provider - Skilled Nursing Facility | 1658413455 | Practice locations: Buffalo, MO |
National Provider Directory
- Tax ID family
- Citizens Memorial Healthcare Foundation Homemaker Plus
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 029574 | MO | Yes |
Addresses
Primary practice location
750 W Cooper St
Buffalo, MO 65622-8662
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 326-6000
Other names
- Colonial Springs Healthcare Center
Other providers in Buffalo, MO
- Buffalo Professional Pharmacy Inc
- Buffalo SNF Operations, LLC
- Scott M Burks
- Kathy J Chandler
- Citizens Memorial Health Care Foundation
- Citizens Memorial Healthcare
- Citizens Memorial Hospital District
- Nina Jane Coffey
- Community Clinic of Buffalo LLC
- Dallas Co R 1 School District
All providers in Buffalo, 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.