SRZ OP BENTONVIEW LLC (NPI# 1851881601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851881601 |
| Entity Type | Organization |
| Organization Name | SRZ OP BENTONVIEW LLC |
| Other Organization Name | BENTONVIEW PARK HEALTH & REHABILITATION |
| Practice Address |
410 W Benton St Monett MO 65708 |
| Mailing Address |
22 Herrick Dr Lawrence NY 11559-1528 |
| Practice Telephone | 4172356031 |
| Mailing Telephone | 9299280307 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | SAMUEL GOLDNER (AUTHORIZED PERSON/OFFICIAL) |
| Authorized Official Telephone | 3475770448 |
| Is Organization Subpart | Y |
| Parent Organization Name | SRZ OP HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bentonview Park Health & Rehabilitation | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SRZ OP BENTONVIEW LLC | 410 W Benton St, Monett, MO 65708-1608 |
| Street Address |
410 W BENTON ST |
| City | MONETT |
| State | MO |
| Zip Code | 65708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911435 | Deaconess Long Term Care of Missouri, Inc. | Skilled Nursing Facility | 410 W Benton St, Monett, MO 65708-1608 | 2005-08-31 |
| 1891355103 | Jennifer Hedrick | Occupational Therapy Assistant | 410 W Benton St, Monett, MO 65708-1608 | 2019-06-18 |
| 1700211042 | Monett Health Care LLC | Skilled Nursing Facility | 410 W Benton St, Monett, MO 65708-1608 | 2013-09-05 |
| 1952680621 | Joe Shimer | Physical Therapist | 410 W Benton St, Monett, MO 65708-1608 | 2011-08-11 |
| 1821384835 | Amy Peabody | Speech-Language Pathologist | 410 W Benton St, Monett, MO 65708-1608 | 2011-06-28 |
| 1942596531 | Brad Winterle | Physical Therapy Assistant | 410 W Benton St, Monett, MO 65708-1608 | 2011-06-22 |
| 1174825004 | Janis L Keeton | Occupational Therapist | 410 W Benton St, Monett, MO 65708-1608 | 2010-11-29 |
| 1922329960 | Benchmark Healthcare of Monett, LLC | Skilled Nursing Facility | 410 W Benton St, Monett, MO 65708-1608 | 2010-06-14 |
| 1609075522 | Angela Marie Forest | Occupational Therapy Assistant | 410 W Benton St, Monett, MO 65708-1608 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1629432182 | Clark Community Mental Health Center | Clinic/Center | 1701 N Central Ave, Monett, MO 65708 | 2016-04-11 |
| 1386010767 | Kathleen Josef Cook | Physical Therapist | 700 E. Cleveland Ave., Monett, MO 65708 | 2015-08-19 |
| 1427443829 | Jeremy Cash Graddy | Physical Therapist | 864 E Us Hwy 60, Suite A, Monett, MO 65708 | 2015-04-02 |
| 1871925529 | Kimberly K Mundt | Counselor | 1701 N Central Ave., Monett, MO 65708 | 2013-08-05 |
| 1114269776 | Amy J Cole | Counselor | 1701 N. Central, Monett, MO 65708 | 2013-03-21 |
| 1538444120 | Brenda Kay Barger-saunders | Respiratory Therapist, Certified | 807 North Lincoln Avenue, Asthma Education Program, Monett, MO 65708 | 2011-10-15 |
| 1164752622 | Clark Community Mental Health Center | Clinic/Center | 1701 North Central St, Monett, MO 65708 | 2010-01-06 |
| 1497918320 | Clark Community Mental Health Center | Counselor | 1701 North Central Ave, Monett, MO 65708 | 2008-07-10 |
| 1295929644 | Apex Physical Therapy, LLC | Clinic/Center | 100 Chapel Drive, Suite C, Monett, MO 65708 | 2007-08-29 |
| Find all providers in zip 65708 | ||||
| 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 |
|---|---|---|---|---|
| 1114911435 | Deaconess Long Term Care of Missouri, Inc. | Skilled Nursing Facility | 410 W Benton St, Monett, MO 65708-1608 | 2005-08-31 |
| 1558362087 | Lacoba Homes Inc | Skilled Nursing Facility | 850 Hwy 60 E, Monett, MO 65708-9376 | 2005-08-09 |
| 1700211042 | Monett Health Care LLC | Skilled Nursing Facility | 410 W Benton St, Monett, MO 65708-1608 | 2013-09-05 |
| 1922329960 | Benchmark Healthcare of Monett, LLC | Skilled Nursing Facility | 410 W Benton St, Monett, MO 65708-1608 | 2010-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1760006308 | Sunterra Dardenne Prairie Oc LLC | Skilled Nursing Facility | 7275 Highway N, Dardenne Prairie, MO 63368-7126 | 2020-05-29 |
| 1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
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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.