Worth County Nursing Home District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032813 Issued in MO

Legal business name

WORTH COUNTY NURSING HOME DISTRICT

Doing business as

Worth County Convalescent Center

Practice address

503 E 4TH St.
Grant City, MO 64456-8863

Phone

(660) 564-3304

Fax

(660) 564-2596

NPI assigned

Sep 5, 2006

Last updated

Jun 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jozy Moyer

Title

Board of Dir. Sec.

Phone

(660) 564-3304

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Worth County Convalescent Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598868853. Details of each certification follow.

• CCN 265773 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265773

Legal name

WORTH COUNTY NURSING HOME DISTRICT

Doing business as

WORTH COUNTY CONVALESCENT CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 24, 2003

Last certification

Jan 10, 2025

Beds

50

Ownership / control type

County

Organization structure

OtherNon-profit

Enrollment address

503 E 4TH St
Grant City, MO 64456-8363

Nursing home name

WORTH COUNTY CONVALESCENT CENTER

Listed as

Worth County Convalescent CenterCCN 265773 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Nov 24, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5032.5 residents per day on average

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 7

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

Practitioners 1

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.

• Angelia D. Martin, M.D.

  • Family Medicine Physician
  • Albany, MO
  • NPI 1689617888
  NPD (past)

Affiliated clinicians 2

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

• Angelia D. Martin, M.D.

  • Family Medicine Physician
  • Albany, MO
  • NPI 1689617888

  Nursing home

  Care Compare affiliation
• Isaac J Mattis

  • Family Medicine Physician
  • Stanberry, MO
  • NPI 1972235166

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1598868853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E 4TH ST.",
            "city": "GRANT CITY",
            "state": "MO",
            "postal_code": "644568363",
            "telephone_number": "660-564-3304",
            "fax_number": "660-564-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E 4TH ST.",
            "city": "GRANT CITY",
            "state": "MO",
            "postal_code": "644568863",
            "telephone_number": "660-564-3304",
            "fax_number": "660-564-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTH COUNTY NURSING HOME DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "JOZY",
        "authorized_official_title_or_position": "BOARD OF DIR. SEC.",
        "authorized_official_telephone_number": "660-564-3304"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "91268019",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101498103",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worth County Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Medical Center Association, Inc (Mosaic Family Care Grant City)
• Sherris Pharmacy Service (Sherri's Pharmacy Services)
• Allison R. Thorn, FNP
• Brian D Vierthaler, DDS
• Worth County Ambulance Service
• Worth County Riii School District

• Skilled Nursing Facility in Grant City, MO
• Providers in Grant City, 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 Jun 27, 2014; 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.