Village Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031589 Issued in MO

Legal business name

VILLAGE CARE CENTER, INC

Practice address

810 E Edwards St
Maryville, MO 64468-2917

Phone

(660) 562-3515

Fax

(660) 562-3658

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Kelly Summa

Title

Administrator

Phone

(660) 562-3515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265643

Legal name

VILLAGE CARE CENTER, INC

Doing business as

VILLAGE CARE CENTER INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1996

Last certification

Mar 28, 2025

Beds

46

Ownership / control type

Individual

Organization structure

CorporationProprietary

Enrollment address

810 E Edwards St
Maryville, MO 64468-2917

Nursing home name

VILLAGE CARE CENTER INC

Affiliated entity

OSBYCORP

Listed as

Village Care Center IncCCN 265643 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4631.1 residents per day on average

Chain

Osbycorp2 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $12,735

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 55

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sally A. Bomar, M.D.

  • Family Medicine Physician
  • Maryville, MO
  • NPI 1043212228

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297

  Adp of the SNF

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally A. Bomar, M.D.

  • Family Medicine Physician
  • Maryville, MO
  • NPI 1043212228
  NPD (past)
• Amrit P. Singh, M.D.

  • Internal Medicine Physician
  • Maryville, MO
  • NPI 1275589426
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sally A. Bomar, M.D.

  • Family Medicine Physician
  • Maryville, MO
  • NPI 1043212228

  Nursing home

  Care Compare affiliation
• Amrit P. Singh, M.D.

  • Internal Medicine Physician
  • Maryville, MO
  • NPI 1275589426

  Nursing home

  Care Compare affiliation
• John T Symonds, DO

  • Family Medicine Physician
  • Maryville, MO
  • NPI 1922035070

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1467449413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E EDWARDS ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682917",
            "telephone_number": "660-562-3515",
            "fax_number": "660-562-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E EDWARDS ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682917",
            "telephone_number": "660-562-3515",
            "fax_number": "660-562-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "SUMMA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-562-3515"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108108101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Maryville, MO
• Providers in Maryville, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.

Verify at the official NPI Registry.