Organization Active NPI

Aspire Senior Living Roaring River LLC

  • Skilled Nursing Facility
  • Cassville, MO
National Provider Identifier
1578436333
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASPIRE SENIOR LIVING ROARING RIVER LLC
Practice address
812 Old Exeter Rd
Cassville, MO 65625-1704
Phone
(417) 847-2184
NPI assigned
Sep 27, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Daniel Brown
Title
Manager
Phone
(704) 968-9629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

812 Old Exeter Rd
Cassville, MO 65625-1704

Mailing address

19401 E US Highway 40 Ste 120
Independence, MO 64055-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251120004275 MO Part A Provider - Skilled Nursing Facility 1254823826 Practice locations: Cassville, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578436333. Details of each certification follow.

Skilled nursing facility certification: CCN 265538

Legal name
ASPIRE SENIOR LIVING ROARING RIVER LLC
Doing business as
ASPIRE SENIOR LIVING ROARING RIVER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1993
Last certification
Mar 1, 2024
Beds
90
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Oct 1, 2014
Organization structure
LLCProprietary
Enrollment address
812 Old Exeter Rd
Cassville, MO 65625-1704
Nursing home name
ASPIRE SENIOR LIVING ROARING RIVER
Affiliated entity
ASPIRE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aspire Senior Living Roaring RiverCCN 265538 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9067.0 residents per day on average
Chain
Aspire Senior Living16 facilities in the chain
Penalties (3 years)
2Fines totaling $46,303
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Hero Health Management, LLC Organization, Independence, MO LLC, Management services company Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Daniel a Brown Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Indirect Ownership Interest Oct 1, 2025 22.7%
CHP SNF Opco Holdings LLC Organization, Independence, MO LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Oct 1, 2025 100%
David Stadtmueller Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Indirect Ownership Interest Oct 1, 2025 8%
CHP Snfco LLC Organization, Independence, MO LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Oct 1, 2025 100%
Michael V Brody Individual Indirect Ownership Interest Oct 1, 2025 30.2%
CHP SNF Holdings LLC Organization, Independence, MO LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Oct 1, 2025 86%
Robert Brim Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Michelle E Leipham Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Indirect Ownership Interest Oct 1, 2025 2%
Barbara J Brown Individual Indirect Ownership Interest Oct 1, 2025 22.7%
Pamela Eickhoff Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Indirect Ownership Interest Oct 1, 2025 4%
Fernando Cavero Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Victor S Shevlyagin Individual Indirect Ownership Interest Oct 1, 2025 10.3%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1758931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1578436333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 E US HIGHWAY 40 STE 120",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 OLD EXETER RD",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251704",
            "telephone_number": "417-847-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE SENIOR LIVING ROARING RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-968-9629"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassville, MO

Sources for this page

Verify at the official NPI Registry.