Buffalo Prairie Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BUFFALO PRAIRIE OPCO, LLC

Doing business as

Buffalo Prairie Center for Rehab and Healthcare

Practice address

631 W Main St
Buffalo, MO 65622-7496

Phone

(417) 345-5422

NPI assigned

Dec 16, 2018

Last updated

Feb 26, 2019By 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

Sam Stern

Title

Cfo

Phone

(877) 567-0402

Specialties & licenses 3

Addresses

Other names 1

• Buffalo Prairie Center for Rehab and Healthcare Doing business as

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1730650888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST STE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644",
            "telephone_number": "877-567-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W MAIN ST",
            "city": "BUFFALO",
            "state": "MO",
            "postal_code": "656227496",
            "telephone_number": "417-345-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO PRAIRIE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "877-567-0402"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buffalo Prairie Center for Rehab and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buffalo Prairie Center for Rehab and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi F Bowden, MS, LPC
• Kurt Russell Bravata, M.D.
• Bristol Care,Inc.
• Buffalo Prairie Dental
• Buffalo Prairie Nursing and Rehab LLC (Buffalo Prairie Center for Rehab and Healthcare)
• Buffalo Prairie Operations Management LLC
• Buffalo Professional Pharmacy Inc (Corner Drug Store)
• Buffalo SNF Operations, LLC (Buffalo Prairie Center for Rehab and Healthcare)
• Scott M Burks, O,D,
• Kathy J Chandler, COTA/L

• Skilled Nursing Facility in Buffalo, MO
• Providers in Buffalo, 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 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.