The Ozarks Methodist Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

039149 Issued in MO

Legal business name

THE OZARKS METHODIST MANOR

Practice address

205 South College Ave
Marionville, MO 65705-0403

Phone

(417) 258-2573

Fax

(417) 258-2240

NPI assigned

Nov 28, 2005

Last updated

Sep 13, 2011By 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

Ms. Mary Ann Cooper, LNHA

Title

Executive Director

Phone

(417) 258-2573

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710960455. Details of each certification follow.

• CCN 265594 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265594

Legal name

THE OZARKS METHODIST MANOR

Doing business as

THE OZARKS METHODIST MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1994

Last certification

Jan 9, 2025

Beds

78

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

205 S College Ave
Marionville, MO 65705-9340

Nursing home name

OZARKS METHODIST MANOR, THE

Listed as

Ozarks Methodist Manor, theCCN 265594 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7859.3 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 17

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

Owners & managing parties with NPI records 1

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

• Robert W Powers, DO

  • Internal Medicine Physician
  • Rogersville, MO
  • NPI 1881699072

  Adp of the SNF, Operational/Managerial Control

  CMS 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.

• Robert W Powers, DO

  • Internal Medicine Physician
  • Rogersville, MO
  • NPI 1881699072
  NPD (past)

Affiliated clinicians 1

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

• Robert W Powers, DO

  • Internal Medicine Physician
  • Rogersville, MO
  • NPI 1881699072

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1710960455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "MARIONVILLE",
            "state": "MO",
            "postal_code": "657050403",
            "telephone_number": "417-258-2573",
            "fax_number": "417-258-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SOUTH COLLEGE AVE",
            "city": "MARIONVILLE",
            "state": "MO",
            "postal_code": "657050403",
            "telephone_number": "417-258-2573",
            "fax_number": "417-258-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OZARKS METHODIST MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-258-2573",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "031264",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "039150",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030003",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "039149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106881006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nuts Inc (Marionville Pharmacy)
• Erica Plank, LPC
• Regional Services (Coxhealth School Based Telemedicine)
• Dan Rinker
• Jason L Shaw, P.T.
• John Victor Tonjuk, RPH.
• Mary Catherine Tonjuk, RPH.
• Jocelyn Warren, RD, LD, CNSC
• Christine Elizabeth Werner, NP
• Heather Lynn Whittington

• Skilled Nursing Facility in Marionville, MO
• Providers in Marionville, 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 Sep 13, 2011; 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.