Golden Age Nursing Home District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031356 Issued in MO

Legal business name

GOLDEN AGE NURSING HOME DISTRICT

Practice address

404 E 3Rd St
Stover, MO 65078-0947

Phone

(573) 377-4521

Fax

(573) 377-2153

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Donna Jean Bowers

Title

Administrator

Phone

(573) 377-4521

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Golden Age Living Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265655

Legal name

GOLDEN AGE NURSING HOME DISTRICT

Doing business as

GOLDEN AGE LIVING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1996

Last certification

Jan 30, 2025

Beds

61

Ownership / control type

Other Nonprofit

Organization structure

GovernmentNon-profit

Enrollment address

404 E 3Rd St
Stover, MO 65078-0947

Nursing home name

GOLDEN AGE LIVING CENTER

Listed as

Golden Age Living CenterCCN 265655

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Aug 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6152.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 3

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.

• Christine Ann Livek, M.D.

  • Family Medicine Physician
  • Eldon, MO
  • NPI 1194758011
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1790770444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "STOVER",
            "state": "MO",
            "postal_code": "650780307",
            "telephone_number": "573-377-4521",
            "fax_number": "573-377-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 3RD ST",
            "city": "STOVER",
            "state": "MO",
            "postal_code": "650780947",
            "telephone_number": "573-377-4521",
            "fax_number": "573-377-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE NURSING HOME DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-377-4521"
    },
    "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": "MO",
            "license": "031356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101487205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Stover, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.