Cassville Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CASSVILLE OPCO, LLC

Doing business as

Cassville Health Center for Rehab and Healthcare

Practice address

1300 County Farm Rd
Cassville, MO 65625-1726

Phone

(417) 847-3386

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By 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

• Cassville Health 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": "1544918400000",
    "number": "1821569971",
    "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": "1300 COUNTY FARM RD",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251726",
            "telephone_number": "417-847-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSVILLE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "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": "Cassville Health Center for Rehab and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Taylor Bradley, FNP
• Connie Lynn Butler, MD
• Carolyn M Hunter D M D P C
• Cassville Health Care Center, L.L.C. (Cassville Health Care Center)
• Cassville Healthcare LLC (Cassville Health Center for Rehab and Healthcare)
• Cassville Operations Management LLC
• Cassville R-IV School District
• Cassville SNF Opco LLC (Cassville Health Care Center)
• Cedar Ridge Care Center, LLC
• Shelbi Cockrum, FNP-BC

• Skilled Nursing Facility in Cassville, MO
• Providers in Cassville, 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 Dec 16, 2018; 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.