Active NPI
Raymore Senior Care LLC
Doing business as Foxwood Springs Living Center
- Skilled Nursing Facility
- Raymore, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RAYMORE SENIOR CARE LLC
- Doing business as
- Foxwood Springs Living Center
- Practice address
- 1500 W Foxwood Dr
Raymore, MO 64083-9347 - Phone
- (816) 331-3111
- Fax
- (816) 331-2490
- NPI assigned
- Jun 24, 2014
- Last updated
- Aug 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian E Dowd
- Title
- Coo
- Phone
- (325) 437-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1500 W Foxwood Dr
Raymore, MO 64083-9347
Mailing address
1 Village Dr Ste 400
Abilene, TX 79606-8232
Phone (325) 437-5800
Other names 1
- Foxwood Springs Living Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210809002091 | MO | Part A Provider - Skilled Nursing Facility | 6305240672 | Practice locations: Raymore, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1992110332. Details of each certification follow.
Skilled nursing facility certification: CCN 265803
- Legal name
- RAYMORE SENIOR CARE LLC
- Doing business as
- FOXWOOD SPRINGS LIVING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 2006
- Last certification
- Jan 10, 2025
- Beds
- 108
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Aug 1, 2021
- Organization structure
- LLC
- Incorporated
- Mar 30, 2021 in DE
- Enrollment address
- 1500 W Foxwood Dr
Raymore, MO 64083-9347 - Nursing home name
- FOXWOOD SPRINGS LIVING CENTER
- Affiliated entity
- BONCREST RESOURCE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Foxwood Springs Living Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 1, 2006
- Medicare certification status
- Active
- Certified beds
- 108
- Chain
- Boncrest Resource Group
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 27
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Aug 1, 2021 | ||
| Raymore Healthcare Investors LLC | 5% Or Greater Mortgage Interest | Aug 1, 2021 | 100% |
| Adp of the SNF | Aug 1, 2021 | ||
| Derrick L. Minter | Operational/Managerial Control | Sep 15, 2024 | |
| Adp of the SNF | Sep 15, 2024 | ||
| Adp of the SNF | Oct 9, 2025 | ||
| Adp of the SNF | Oct 9, 2025 | ||
| Boncrest Resource Group Inc | Direct Ownership Interest | Aug 1, 2021 | 100% |
| Christopher B Geha | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Jul 1, 2023 | ||
| Cynthia B Matheny | Operational/Managerial Control | Aug 1, 2022 | |
| Managing Control - Governing Body | Aug 1, 2022 | ||
| Adp of the SNF | Aug 1, 2022 | ||
| Adp of the SNF | Jul 18, 2022 | ||
| Adp of the SNF | Oct 9, 2025 | ||
| Oren Bradley Payne | Managing Control - Governing Body | Aug 1, 2021 | |
| Oakdale Seniors Alliance LLC | Operational/Managerial Control | Aug 1, 2022 | |
| Adp of the SNF | Aug 1, 2025 | ||
| Adp of the SNF | Jul 15, 2024 | ||
| Adp of the SNF | Oct 24, 2025 | ||
| Amelia Waller Baker | Operational/Managerial Control | Nov 10, 2023 | |
| Managing Control - Governing Body | Nov 10, 2023 | ||
| Adp of the SNF | Oct 9, 2025 | ||
| Patrick Livingston Omwoha | Operational/Managerial Control | Sep 18, 2024 | |
| Adp of the SNF | Sep 18, 2024 | ||
| Maurice Rosenbaum | Operational/Managerial Control | Aug 1, 2021 | |
| Managing Control - Governing Body | Nov 10, 2023 | ||
| Adp of the SNF | Jul 22, 2024 | ||
| Adp of the SNF | Aug 15, 2022 | ||
| Frank Corrigan | Managing Control - Governing Body | Aug 1, 2021 | |
| Adp of the SNF | Sep 18, 2023 | ||
| Adp of the SNF | Oct 9, 2025 | ||
| Adp of the SNF | Jul 25, 2022 | ||
| Adp of the SNF | Oct 23, 2023 | ||
| Adp of the SNF | Jan 30, 2025 | ||
| Adp of the SNF | Mar 20, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Leawood, KS
- NPI 1578556478
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Asbury Health Center
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1629844956
Oakdale Seniors Alliance LLC
-
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1477657955
Oakdale Seniors Alliance LLC
-
- Skilled Nursing Facility
- Cranberry Township, PA
- NPI 1982708459
Oakdale Seniors Alliance LLC
-
dba Robin Run Health Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1700291143
Oakdale Seniors Alliance LLC
-
dba Norwood Crossing
- Skilled Nursing Facility
- Chicago, IL
- NPI 1477540417
Oakdale Seniors Alliance LLC
-
dba Seneca Place
- Skilled Nursing Facility
- Verona, PA
- NPI 1609642933
Oakdale Seniors Alliance LLC
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Columbia, MO
- NPI 1407211873
-
- Internal Medicine Physician
- Leawood, KS
- NPI 1578556478
-
- Psychiatry Physician
- Mountain View, CA
- NPI 1760587836
Affiliated clinicians 1
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": "1403568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627862400000",
"number": "1992110332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VILLAGE DR STE 400",
"city": "ABILENE",
"state": "TX",
"postal_code": "796068232",
"telephone_number": "325-437-5800",
"fax_number": "325-437-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W FOXWOOD DR",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640839347",
"telephone_number": "816-331-3111",
"fax_number": "816-331-2490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMORE SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-24",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A",
"authorized_official_last_name": "DOWD",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "325-437-5800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foxwood Springs Living Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.