Cassville Health Care Center, L.L.C.
Organization Active NPI Skilled Nursing Facility · Cassville, MO
NPI 1508759853 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1508759853
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CASSVILLE HEALTH CARE CENTER, L.L.C.
- Practice address
- 1300 County Farm Rd
Cassville, MO 65625-1726 - Phone
- (417) 847-3386
- NPI assigned
- Jun 3, 2025
- Organization subpart
- No
Authorized official
- Name
- Richard J. Destefane
- Title
- President
- Phone
- (314) 543-3816
Owners & managing parties with NPI records 1
-
Abdullah Arshad, MD
Facilities with the same owner 32
Practitioners 2
-
Abdullah Arshad, MD
-
Cheryl G Williams, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Cassville Health Care Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 1, 1991
- Medicare certification status
- Active
- Certified beds
- 60 · 37.7 residents per day on average
- Chain
- Reliant Care Management
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 2 · fines totaling $123,925
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265460
- Legal name
- CASSVILLE HEALTH CARE CENTER, L.L.C.
- Doing business as
- CASSVILLE HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1991
- Last certification
- Oct 1, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Jul 1, 2025
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1300 County Farm Rd
Cassville, MO 65625-1726 - Nursing home name
- CASSVILLE HEALTH CARE CENTER
- Affiliated entity
- RELIANT CARE MANAGEMENT
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| RCG Inc |
Indirect Ownership Interest | Jul 1, 2025 | 0.01% |
| Richard J. Destefane Revocable Living Trust |
Indirect Ownership Interest | Jul 1, 2025 | 100% |
| Richard J Destefane |
Corporate Officer |
Jul 1, 2025 | 100% |
| Operational/Managerial Control | Jul 1, 2025 | ||
| Indirect Ownership Interest | Jul 1, 2025 | 100% | |
| Reliant Care Group LLC |
Direct Ownership Interest | Jul 1, 2025 | 100% |
| Reliant Care Management Company LLC |
Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 22, 2025 | ||
| Abdullah Arshad |
Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Robert Brim |
Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| 1300 County Farm Road, L.L.C. |
Adp of the SNF | Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250804001450 | MO | Part a Provider - Skilled Nursing Facility | 9133637952 | Practice locations: Cassville, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1300 County Farm Rd
Cassville, MO 65625-1726
Mailing address
1869 Craig Park CT
Saint Louis, MO 63146-4122
Phone (314) 543-3816
Other names
- Cassville Health Care Center
Other providers in Cassville, MO
- Danielle Marie Bishop
- Hannah Marie Bolton
- Mackenzie Taylor Bradley
- Connie Lynn Butler
- Carolyn M Hunter D M D P C
- Cassville Healthcare LLC
- Cassville Opco, LLC
- Cassville Operations Management LLC
- Cassville R-IV School District
- Cassville SNF Opco LLC
All providers in Cassville, 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 Jun 3, 2025. 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.