SRZ Op Bentonview LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SRZ OP BENTONVIEW LLC

Doing business as

Bentonview Park Health & Rehabilitation

Practice address

410 W Benton St
Monett, MO 65708

Phone

(417) 235-6031

NPI assigned

May 17, 2018

Organization subpart

Yes

Parent organization

SRZ OP HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Samuel Goldner

Title

Authorized Person/Official

Phone

(347) 577-0448

Specialties & licenses 1

Addresses

Other names 1

• Bentonview Park Health & Rehabilitation Doing business as

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1851881601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HERRICK DR",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591528",
            "telephone_number": "929-928-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W BENTON ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "65708",
            "telephone_number": "417-235-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRZ OP BENTONVIEW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRZ OP HOLDINGS LLC",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED PERSON/OFFICIAL",
        "authorized_official_telephone_number": "347-577-0448"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bentonview Park Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Elizabeth Sloan
• Brian K Smith, CRNA
• Jada Smith, MS, CCC-SLP
• Karla Smith, LCSW
• Seth Snowden
• Katey Ann Stafford, PMHNP
• Yvonne Stanke, CRNA
• Kelsie Stauffer, PMHNP
• Stephen E Stidham, DDS
• Elizabeth Katherine Stotlemeyer

• Skilled Nursing Facility in Monett, MO
• Providers in Monett, 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 May 17, 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.