BUFFALO PRAIRIE OPCO, LLC (NPI# 1730650888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730650888 |
| Entity Type | Organization |
| Organization Name | BUFFALO PRAIRIE OPCO, LLC |
| Other Organization Name | BUFFALO PRAIRIE CENTER FOR REHAB AND HEALTHCARE |
| Practice Address |
631 W Main St Buffalo MO 65622-7496 |
| Mailing Address |
14c 53rd St Ste 220 Brooklyn NY 11232-2644 |
| Practice Telephone | 4173455422 |
| Mailing Telephone | 8775670402 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | SAM STERN (CFO) |
| Authorized Official Telephone | 8775670402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Buffalo Prairie Center for Rehab and Healthcare | Doing Business As Name - Organization |
| Street Address |
631 W MAIN ST |
| City | BUFFALO |
| State | MO |
| Zip Code | 65622-7496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658900 | Deaconess Long Term Care of Ohio, Inc. | Skilled Nursing Facility | 631 W Main St, Buffalo, MO 65622-7496 | 2005-08-31 |
| 1326587916 | Buffalo Prairie Operations Management LLC | Skilled Nursing Facility | 631 W Main St, Buffalo, MO 65622-7496 | 2017-02-16 |
| 1598019564 | Ashley Justine Perkins | Physical Therapist | 631 W Main St, Buffalo, MO 65622 | 2012-10-30 |
| 1366733503 | Kathy J Chandler | Occupational Therapy Assistant | 631 W Main St, Buffalo, MO 65622-7496 | 2011-04-21 |
| 1740582055 | Phdc, LLC | Skilled Nursing Facility | 631 W Main St, Buffalo, MO 65622-7496 | 2010-11-19 |
| 1235374554 | Darcy J Lewis | Contractor | 631 W Main St, Buffalo, MO 65622-7496 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679822217 | Leanne Boggs | Counselor | 1336 S Ash St., Suite 102, Buffalo, MO 65622 | 2012-08-29 |
| 1457589293 | Benson Thomas Pyatt | Dentist | 1006 South Ash, Buffalo, MO 65622 | 2009-07-01 |
| 1124275482 | Premier Residential Care LLC | Assisted Living Facility | 967 North Maple, Buffalo, MO 65622 | 2008-08-19 |
| 1275750879 | Community Clinic of Buffalo LLC | Clinic/Center | 1228 W Truman, Buffalo, MO 65622 | 2007-04-18 |
| 1790887156 | Ed G Pyatt | Dentist | 1006 S Ash, Buffalo, MO 65622 | 2006-09-05 |
| 1497864136 | Christopher L Dugas | Chiropractor | 701 N Maple St, Buffalo, MO 65622 | 2006-08-29 |
| 1790032332 | Sara E Hertzke-hill | Physician Assistant | 201 S Ash St, Buffalo, MO 65622 | 2012-08-14 |
| 1629103502 | Mercy Clinic-springfield Communities | Family Medicine | 118 W Dallas St, Buffalo, MO 65622 | 2007-02-22 |
| 1386789972 | Dallas County Health Department | Public Health or Welfare | 1011 W Main, Buffalo, MO 65622-0199 | 2007-02-21 |
| 1912276809 | Buffalo Prairie Dental | Dentist | 1006 S. Ash, Buffalo, MO 65622-0707 | 2011-12-21 |
| Find all providers in zip 65622 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932408747 | Drnc LLC | Skilled Nursing Facility | 1014 Delaware Ave, Buffalo, NY 14209-1606 | 2011-03-18 |
| 1891978847 | Ahcs 3, Lp | Skilled Nursing Facility | 302 Pearlstone Street, Buffalo, TX 75831 | 2007-12-13 |
| 1689873721 | Amak Health Care Agency,inc. | Skilled Nursing Facility | 3258 Main St, Buffalo, NY 14214-1334 | 2007-07-17 |
| 1093865388 | Grace Manor Health Care Facility Inc. | Skilled Nursing Facility | 10 Symphony Cir, Buffalo, NY 14201-1339 | 2007-01-11 |
| 1821182270 | Western Nursing Home LLC | Skilled Nursing Facility | 111 Walnut Dr, Buffalo, OK 73834 | 2006-10-02 |
| 1952402372 | Btnh Inc | Skilled Nursing Facility | 1014 Delaware Avenue, Buffalo, NY 14209-1606 | 2006-09-26 |
| 1255438966 | Ridge View Manor LLC | Skilled Nursing Facility | 300 Dorrance Ave, Buffalo, NY 14220-2704 | 2006-09-17 |
| 1376580233 | Kaleida Health | Skilled Nursing Facility | 1031 Michigan Avenue, Buffalo, NY 14203-1019 | 2006-06-01 |
| 1639116791 | Presbyterian Senior Care of Western New York, Inc. | Skilled Nursing Facility | 1205 Delaware Ave, Buffalo, NY 14209-1401 | 2006-05-31 |
| 1528015682 | Presbyterian Senior Care of Western New York, Inc. | Skilled Nursing Facility | 1175 Delaware Ave, Buffalo, NY 14209-1401 | 2006-05-27 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.