NPIMap

Organization Active NPI

Citizens Memorial Health Care Foundation

Doing business as Community Springs Healthcare Facility

  • Skilled Nursing Facility
  • El Dorado Springs, MO
National Provider Identifier
1942289095
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031552 Issued in MO
Legal business name
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Doing business as
Community Springs Healthcare Facility
Practice address
400 E Hospital Rd
El Dorado Springs, MO 64744-2024
Phone
(417) 876-2531
Fax
(417) 876-3459
NPI assigned
Jan 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Renee Marie Meyer
Title
Director of Finance
Phone
(417) 328-6258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031552 MO Primary

Addresses

Primary practice location

400 E Hospital Rd
El Dorado Springs, MO 64744-2024

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 326-3000

Other names 1

  • Community Springs Healthcare Facility Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100115000909 MO Part A Provider - Skilled Nursing Facility 1658413455 Practice locations: El Dorado Springs, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942289095. Details of each certification follow.

Skilled nursing facility certification: CCN 265446

Legal name
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Doing business as
COMMUNITY SPRINGS HEALTHCARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1991
Last certification
Jan 3, 2025
Beds
120
Ownership / control type
Nonprofit Corporation
Multi-facility organization
CITIZENS MEMORIAL HEALTH CARE FOUNDATI
Organization structure
OtherNon-profit
Enrollment address
400 E Hospital Rd
El Dorado Springs, MO 64744-2024
Nursing home name
COMMUNITY SPRINGS HEALTHCARE FACILITY
Affiliated entity
CITIZENS MEMORIAL HEALTH CARE

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Community Springs Healthcare FacilityCCN 265446 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12069.0 residents per day on average
Chain
Citizens Memorial Health Care6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Citizens Mem Home Medi14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

400 E Hospital Rd
El Dorado Springs, MO 64744
Phone (417) 876-2531

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Tim W Francka Individual Operational/Managerial Control Feb 18, 2024
Adp of the SNF Feb 18, 2024
Brittany Hardman Individual Operational/Managerial Control Apr 28, 2024
Adp of the SNF Apr 28, 2024
Heather Finnell Individual Operational/Managerial Control Jan 5, 2020
Adp of the SNF Nov 21, 2021
Michael Calhoun Individual Operational/Managerial Control Jan 2, 2022
Managing Control - Governing BodyExecutive Director Jan 2, 2022
Adp of the SNF Jan 2, 2022
Vautrin a Cadle Individual Operational/Managerial Control Jan 7, 2024
Adp of the SNF Jan 7, 2024
Gary D Fulbright Individual Operational/Managerial Control Mar 17, 2022
Managing Control - Governing BodyBoard Member Mar 17, 2022
Adp of the SNF Mar 17, 2022
John Kallenbach Individual Operational/Managerial Control Jun 20, 2019
Managing Control - Governing BodyBoard Vice President Jun 20, 2019
Adp of the SNF Jun 20, 2019
Kenneth R Smith Individual Operational/Managerial Control Mar 30, 2023
Managing Control - Governing BodyBoard Member Mar 30, 2023
Adp of the SNF Mar 30, 2023
Janieca Lynn Hancock Individual Operational/Managerial Control Mar 15, 2018
Managing Control - Governing BodyBoard President Mar 15, 2018
Adp of the SNF Mar 15, 2018
James Ashworth Individual Operational/Managerial Control Jun 17, 2021
Managing Control - Governing BodyBoard Member Jun 17, 2021
Adp of the SNF Jun 17, 2021
Jeffrey R Tedrow Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jun 27, 2024
Sarah L Hanak Individual Operational/Managerial Control Jan 5, 2020
Adp of the SNF Jan 5, 2020
Eran T Dawson Individual Managing Control - Governing BodyBoard Secretary Apr 1, 2022
Renee M Meyer Individual Operational/Managerial Control Jan 12, 2020
Managing Control - Governing BodyTreasurer, Non Voting Jan 1, 2022
Adp of the SNF Jan 12, 2020
Katrina S Banner Individual Operational/Managerial Control Nov 17, 2022
Managing Control - Governing BodyBoard Member Nov 17, 2022
Adp of the SNF Nov 17, 2022
Donald J Babb Individual Operational/Managerial Control Sep 24, 1986
Managing Control - Governing BodyBoard Member Sep 24, 1986
Adp of the SNF Sep 24, 1986
Dana M Meents Individual Operational/Managerial Control Oct 14, 2010
Managing Control - Governing BodyBoard Member Oct 14, 2010
Adp of the SNF Oct 14, 2010

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942289095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-326-3000",
            "fax_number": "417-328-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E HOSPITAL RD",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442024",
            "telephone_number": "417-876-2531",
            "fax_number": "417-876-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEMORIAL HEALTH CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "417-328-6258",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Springs Healthcare Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Springs, MO

Sources for this page

Verify at the official NPI Registry.