Organization Active NPI

Raymore Senior Care LLC

Doing business as Foxwood Springs Living Center

  • Skilled Nursing Facility
  • Raymore, MO
National Provider Identifier
1992110332
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCNon-profit
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 CenterCCN 265803 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10891.4 residents per day on average
Chain
Boncrest Resource Group5 facilities in the chain
Penalties (3 years)
1Fines totaling $13,627

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Organization, Atlanta, GA LLC, For-profit Adp of the SNF Aug 1, 2021
Raymore Healthcare Investors LLC Organization, Atlanta, GA Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Aug 1, 2021 100%
Adp of the SNF Aug 1, 2021
Derrick L. Minter Individual Operational/Managerial Control Sep 15, 2024
Adp of the SNF Sep 15, 2024
Organization, Atlanta, GA LLC, For-profit Adp of the SNF Oct 9, 2025
Organization, Atlanta, GA Corporation, For-profit Adp of the SNF Oct 9, 2025
Boncrest Resource Group Inc Organization, Brookhaven, GA Corporation, Non-profit Direct Ownership Interest Aug 1, 2021 100%
Christopher B Geha Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Cynthia B Matheny Individual Operational/Managerial ControlAuthorized Signatory for Raymore Aug 1, 2022
Managing Control - Governing BodyAuthorized Signatory Aug 1, 2022
Adp of the SNF Aug 1, 2022
Individual Adp of the SNF Jul 18, 2022
Organization, Atlanta, GA LLC Adp of the SNF Oct 9, 2025
Oren Bradley Payne Individual Managing Control - Governing BodyBoard Member Aug 1, 2021
Oakdale Seniors Alliance LLC Organization, Chattanooga, TN LLC, Management services company, For-profit Operational/Managerial Control Aug 1, 2022
Adp of the SNF Aug 1, 2025
Individual Adp of the SNF Jul 15, 2024
Organization, Springfield, MO Adp of the SNF Oct 24, 2025
Amelia Waller Baker Individual Operational/Managerial Control Nov 10, 2023
Managing Control - Governing BodySecretary Nov 10, 2023
Organization, Atlanta, GA LLC, Management services company, For-profit Adp of the SNF Oct 9, 2025
Patrick Livingston Omwoha Individual Operational/Managerial Control Sep 18, 2024
Adp of the SNF Sep 18, 2024
Maurice Rosenbaum Individual Operational/Managerial Control Aug 1, 2021
Managing Control - Governing BodyPresident Nov 10, 2023
Individual Adp of the SNF Jul 22, 2024
Individual Adp of the SNF Aug 15, 2022
Frank Corrigan Individual Managing Control - Governing BodyBoard Member Aug 1, 2021
Individual Adp of the SNF Sep 18, 2023
Organization, Atlanta, GA LLC, For-profit Adp of the SNF Oct 9, 2025
Individual Adp of the SNF Jul 25, 2022
Individual Adp of the SNF Oct 23, 2023
Individual Adp of the SNF Jan 30, 2025
Individual 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.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

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

Verify at the official NPI Registry.