Organization Active NPI

Butler Operator LLC

Doing business as Butler Rehab and Healthcare Center

  • Skilled Nursing Facility
  • Butler, MO
National Provider Identifier
1619669645
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BUTLER OPERATOR LLC
Doing business as
Butler Rehab and Healthcare Center
Practice address
416 S High St
Butler, MO 64730-1827
Phone
(660) 679-6158
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Jacques Wolf
Title
Manager
Phone
(908) 430-5101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

416 S High St
Butler, MO 64730-1827

Mailing address

311 Blvd of the Americas
Suite 201
Lakewood, NJ 08701

Other names 1

  • Butler Rehab and Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231206003456 MO Part A Provider - Skilled Nursing Facility 5597114207 Practice locations: Butler, MO

Skilled nursing facility certification: CCN 265275

Legal name
BUTLER OPERATOR LLC
Doing business as
BUTLER REHAB AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home โ€“ SNF/NF dual certification
Participating since
Mar 11, 1985
Last certification
Apr 5, 2024
Beds
98
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
416 S High St
Butler, MO 64730-1827
Nursing home name
BUTLER REHAB AND HEALTHCARE CENTER
Affiliated entity
AMA HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Butler Rehab and Healthcare CenterCCN 265275 ยท All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 11, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9855.4 residents per day on average
Chain
Ama Holdings13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Excel Ntad LLC Organization, Overland Park, KS LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 10%
Asher Marx Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 42.75%
Corporate DirectorManaging Member Aug 1, 2023 42.75%
Operational/Managerial ControlManaging Member Aug 1, 2023 42.75%
Butler Manager LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 90%
Mo Butler LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 90%
Def Holdings LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 45%
Nassan Treitel Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 10%
Butler Holdco LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2023 100%
Joyce a Leffert Individual W-2 Managing EmployeeAdministrator Aug 28, 2023
Jacques Wolf Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 42.75%
Corporate DirectorManaging Member Aug 1, 2023 42.75%
Operational/Managerial ControlManaging Member Aug 1, 2023 42.75%
Ama Holdings LLC Organization, Toms River, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 45%
Butler Partners LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 100%

Facilities with the same owner 12

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.

Affiliated clinicians 2

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1619669645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BLVD OF THE AMERICAS",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S HIGH ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301827",
            "telephone_number": "660-679-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-430-5101"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butler Rehab and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, MO

Sources for this page

Verify at the official NPI Registry.