Maranatha Village, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031691 Issued in MO

Legal business name

MARANATHA VILLAGE, INC.

Practice address

233 E Norton Rd
Springfield, MO 65803-3633

Phone

(417) 833-0016

Fax

(417) 833-6659

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Jenni S Hall

Title

Business Office Manager

Phone

(417) 833-0016

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265475

Legal name

MARANATHA VILLAGE INC

Doing business as

MARANATHA VILLAGE INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 5, 1991

Last certification

Apr 19, 2024

Beds

120

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

233 E Norton Rd
Springfield, MO 65803-3633

Nursing home name

MARANATHA VILLAGE, INC

Listed as

Maranatha Village, IncCCN 265475

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 5, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120101.7 residents per day on average

Penalties (3 years)

2Fines totaling $16,335

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 13

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.

• Nolan C. Snider, MD

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1124007653
  NPD (past)

Affiliated clinicians 2

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

• Marcelo J. Mantala, MD

  • Internal Medicine Physician
  • Springfield, MO
  • NPI 1710089644

  Nursing home

  Care Compare affiliation
• Donna M Roberts, MD

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1780784298

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1699765644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E NORTON RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658033633",
            "telephone_number": "417-833-0016",
            "fax_number": "417-833-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E NORTON RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658033633",
            "telephone_number": "417-833-0016",
            "fax_number": "417-833-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JENNI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "417-833-0016",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101490704",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usha P. Manusmare, MD
• Kierin Manzari, M.S. CCC-SLP
• Jeffrey Kyle Maples, DMD
• Makenzie Ryan Maples
• Sara Maples
• Cheryl L. Maras, MS. LPC
• Hiawatha David Marban
• Jessica Marez, MSW, LCSW
• Kalyn Marino, DMD
• Katherine Diana Markley, P.T.

• Skilled Nursing Facility in Springfield, MO
• Providers in Springfield, 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 Feb 10, 2009; 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.